How much rates vary
Facilitymedian $676 · 10th to 90th $389 to $1,820Professionalmedian $417 · 10th to 90th $69 to $676
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 $389.05 Median $501.19 Typical High $549.54 | Facility | None | $389.05 | $501.19 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $389.05 | $389.05 | $457.09 |
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 $338.84 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $338.84 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $407.38 | $407.38 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $75.86 | $75.86 |
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 $416.87 Typical High $562.34 | Professional | None (both parts) | $56.23 | $416.87 | $562.34 |
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 $275.42 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $275.42 | $537.03 | $588.84 |
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 $239.88 Median $467.74 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $467.74 | $489.78 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $616.60 | Facility | None | $380.19 | $616.60 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $2,884.03 | Professional | None (both parts) | $275.42 | $512.86 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $120.23 Typical High $354.81 | Professional | 26 · Professional part | $52.48 | $120.23 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $741.31 Typical High $2,511.89 | Professional | TC · Technical part | $213.80 | $741.31 | $2,511.89 |
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 $257.04 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $257.04 | $407.38 | $794.33 |
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 $346.74 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $346.74 | $691.83 |
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 $194.98 Median $199.53 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
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· 40th of 51
$417
AK $933NM $309
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.