How much rates vary
Facilitymedian $2,818 · 10th to 90th $646 to $4,898Professionalmedian $398 · 10th to 90th $105 to $741
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 $380.19 Median $616.60 Typical High $660.69 | Facility | None | $380.19 | $616.60 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 26 · Professional part | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $295.12 | $295.12 | $316.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,011.87 | Facility | None | $1,995.26 | $3,235.94 | $5,011.87 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $85.11 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $85.11 | $389.05 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $1,148.15 | Facility | None | $147.91 | $151.36 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $331.13 | $537.03 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $107.15 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $426.58 | $575.44 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $676.08 | Facility | None | $389.05 | $676.08 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $2,754.23 | Professional | None (both parts) | $331.13 | $512.86 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $181.97 Typical High $776.25 | Professional | 26 · Professional part | $81.28 | $181.97 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $630.96 Typical High $2,187.76 | Professional | TC · Technical part | $251.19 | $630.96 | $2,187.76 |
United Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $562.34 | Facility | None | $95.50 | $346.74 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $323.59 | $398.11 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $309.03 | $588.84 |
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 $190.55 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $190.55 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $75.86 | $77.62 | $79.43 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 23rd of 51
$479
AK $977NM $302
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.