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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $83.18 | Professional | 26 · Professional part | $75.86 | $77.62 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $74.13 | $74.13 | $77.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $309.03 | Facility | None | $165.96 | $218.78 | $309.03 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $79.43 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $79.43 | $162.18 | $223.87 |
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 $138.04 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $138.04 | $190.55 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $100.00 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $89.13 | $120.23 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $234.42 | Facility | None | $151.36 | $234.42 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $1,047.13 | Professional | None (both parts) | $134.90 | $199.53 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $169.82 Typical High $512.86 | Professional | 26 · Professional part | $75.86 | $169.82 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $173.78 Typical High $549.54 | Professional | TC · Technical part | $48.98 | $173.78 | $549.54 |
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 $128.82 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $128.82 | $162.18 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $87.10 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $44.67 | $83.18 | $162.18 |
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 $74.13 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
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· 35th of 51
$162
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.