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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $91.20 | Professional | None (both parts) | $87.10 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $54.95 | Professional | TC · Technical part | $51.29 | $52.48 | $54.95 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $63.10 | Professional | None (both parts) | $38.02 | $51.29 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,949.84 | Facility | None | $169.82 | $169.82 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $102.33 | $117.49 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $47.86 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $69.18 | $89.13 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $234.42 | Facility | None | $72.44 | $134.90 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $251.19 Typical High $1,548.82 | Professional | None (both parts) | $75.86 | $251.19 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $81.28 Typical High $257.04 | Professional | 26 · Professional part | $36.31 | $81.28 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $380.19 Typical High $1,513.56 | Professional | TC · Technical part | $29.51 | $380.19 | $1,513.56 |
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 $75.86 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $75.86 | $229.09 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $42.66 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $25.12 | $190.55 | $380.19 |
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 $43.65 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $43.65 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.20 |
Where Oklahoma sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$117
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.