How much rates vary
Facilitymedian $182 · 10th to 90th $95 to $309Professionalmedian $87 · 10th to 90th $46 to $151
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None (both parts) | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | TC · Technical part | $42.66 | $42.66 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
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 $36.31 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $36.31 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $89.13 | $100.00 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $46.77 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $53.70 | $64.57 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $109.65 | Facility | None | $79.43 | $95.50 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $549.54 | Professional | None (both parts) | $72.44 | $102.33 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $69.18 Typical High $234.42 | Professional | 26 · Professional part | $33.11 | $69.18 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $85.11 Typical High $316.23 | Professional | TC · Technical part | $40.74 | $85.11 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $69.18 | $91.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $38.02 | $50.12 | $85.11 |
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 $38.90 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.49 | $15.85 | $15.85 |
Where Oklahoma sits
The same service costs 3.0 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· 38th of 51
$87.10
AK $204TX $67.61
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.