How much rates vary
Facilitymedian $191 · 10th to 90th $129 to $331Professionalmedian $129 · 10th to 90th $87 to $240
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 $104.71 Median $169.82 Typical High $363.08 | Facility | None | $104.71 | $169.82 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None (both parts) | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $109.65 | $109.65 | $117.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $309.03 | Facility | None | $165.96 | $223.87 | $309.03 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $64.57 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $128.82 | $134.90 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $81.28 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $53.70 | $74.13 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $234.42 | Facility | None | $107.15 | $158.49 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $724.44 | Professional | None (both parts) | $109.65 | $151.36 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $123.03 Typical High $416.87 | Professional | 26 · Professional part | $60.26 | $123.03 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $97.72 Typical High $316.23 | Professional | TC · Technical part | $46.77 | $97.72 | $316.23 |
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 $100.00 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $100.00 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $72.44 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $57.54 | $97.72 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Where Oklahoma sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 22nd of 51
$135
AK $275UT $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.