How much rates vary
Facilitymedian $182 · 10th to 90th $105 to $309Professionalmedian $117 · 10th to 90th $66 to $251
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 $102.33 Median $102.33 Typical High $281.84 | Facility | None | $102.33 | $102.33 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 26 · Professional part | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | TC · Technical part | $54.95 | $54.95 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $309.03 | Facility | None | $158.49 | $218.78 | $309.03 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $58.88 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $58.88 | $112.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $467.74 | Facility | None | $75.86 | $75.86 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $100.00 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $63.10 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $39.81 | $72.44 | $97.72 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $169.82 | Facility | None | $104.71 | $169.82 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $794.33 | Professional | None (both parts) | $97.72 | $138.04 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $107.15 Typical High $371.54 | Professional | 26 · Professional part | $47.86 | $107.15 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $134.90 Typical High $478.63 | Professional | TC · Technical part | $45.71 | $134.90 | $478.63 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $95.50 | $117.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $64.57 | $123.03 |
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 $51.29 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.89 | $20.89 |
Where Oklahoma sits
The same service costs 3.9 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· 27th of 51
$123
AK $282TX $72.44
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.