How much rates vary
Facilitymedian $195 · 10th to 90th $138 to $316Professionalmedian $138 · 10th to 90th $98 to $219
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 $125.89 Median $162.18 Typical High $204.17 | Facility | None | $125.89 | $162.18 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $125.89 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | 26 · Professional part | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $52.48 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $123.03 | $131.83 | $186.21 |
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 $77.62 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $77.62 | $134.90 | $186.21 |
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 $154.88 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $154.88 | $162.18 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $97.72 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $64.57 | $64.57 | $89.13 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $190.55 Typical High $281.84 | Facility | None | $128.82 | $190.55 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $870.96 | Professional | None (both parts) | $131.83 | $181.97 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $501.19 | Professional | 26 · Professional part | $72.44 | $147.91 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $117.49 Typical High $380.19 | Professional | TC · Technical part | $56.23 | $117.49 | $380.19 |
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 $120.23 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $120.23 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $87.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $69.18 | $117.49 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.70 | $25.70 |
Where Oklahoma sits
The same service costs 4.0 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· 37th of 51
$145
AK $339TX $85.11
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.