How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $812.83 Median $1,348.96 Typical High $1,348.96 | Facility | None | $812.83 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $912.01 | Professional | None (both parts) | $812.83 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 26 · Professional part | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | TC · Technical part | $707.95 | $707.95 | $794.33 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $2,691.53 | Facility | None | $1,479.11 | $1,949.84 | $2,691.53 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $128.82 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $128.82 | $851.14 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,174.90 Typical High $1,513.56 | Professional | None (both parts) | $1,071.52 | $1,174.90 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $144.54 | $154.88 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,000.00 Typical High $1,318.26 | Professional | TC · Technical part | $912.01 | $1,000.00 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,949.84 | Facility | None | $851.14 | $1,348.96 | $1,949.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,288.25 Typical High $6,025.60 | Professional | None (both parts) | $831.76 | $1,288.25 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $234.42 Typical High $776.25 | Professional | 26 · Professional part | $112.20 | $234.42 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,445.44 Typical High $5,248.07 | Professional | TC · Technical part | $691.83 | $1,445.44 | $5,248.07 |
United Setting Facility Modifier None Typical Low $380.19 Median $1,380.38 Typical High $2,238.72 | Facility | None | $380.19 | $1,380.38 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,000.00 Typical High $1,659.59 | Professional | None (both parts) | $741.31 | $1,000.00 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $134.90 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $870.96 Typical High $1,445.44 | Professional | TC · Technical part | $630.96 | $870.96 | $1,445.44 |
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 $407.38 Median $446.68 Typical High $457.09 | Professional | 52 · Reduced service | $407.38 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $177.83 Typical High $181.97 | Professional | 53 · Discontinued | $162.18 | $177.83 | $181.97 |
Where Oklahoma sits
The same service costs 2.9 times more in Alaska than in Texas. 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· 38th of 51
$1,047
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.