How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $263.03 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $104.71 | $107.15 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $173.78 | Professional | TC · Technical part | $158.49 | $162.18 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $1,949.84 | Facility | None | $165.96 | $177.83 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $288.40 | $457.09 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $120.23 | $190.55 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $263.03 | $263.03 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $1,445.44 | Facility | None | $234.42 | $275.42 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $1,862.09 | Professional | None (both parts) | $257.04 | $323.59 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $190.55 Typical High $741.31 | Professional | 26 · Professional part | $97.72 | $190.55 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $295.12 Typical High $1,122.02 | Professional | TC · Technical part | $147.91 | $295.12 | $1,122.02 |
United Setting Facility Modifier None Typical Low $162.18 Median $602.56 Typical High $977.24 | Facility | None | $162.18 | $602.56 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $229.09 | $295.12 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $114.82 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $173.78 | $275.42 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $131.83 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $52.48 | $53.70 | $54.95 |
Where Oklahoma sits
The same service costs 9.8 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 24th of 51
$331
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.