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 $338.84 Median $467.74 Typical High $478.63 | Facility | None | $338.84 | $467.74 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $338.84 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $52.48 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | TC · Technical part | $281.84 | $281.84 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $295.12 | $295.12 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $72.44 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,819.70 | Facility | None | $912.01 | $1,288.25 | $1,819.70 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $56.23 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $56.23 | $346.74 | $478.63 |
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 $251.19 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $251.19 | $467.74 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $70.79 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $389.05 | $426.58 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $537.03 | Facility | None | $338.84 | $537.03 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $2,454.71 | Professional | None (both parts) | $269.15 | $436.52 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $52.48 | $114.82 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $602.56 Typical High $2,089.30 | Professional | TC · Technical part | $204.17 | $602.56 | $2,089.30 |
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 $251.19 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $251.19 | $346.74 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $190.55 | $288.40 | $562.34 |
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 $169.82 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $67.61 | $69.18 | $70.79 |
Where Oklahoma sits
The same service costs 3.0 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· 44th of 51
$347
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.