How much rates vary
Facilitymedian $74 · 10th to 90th $40 to $209Professionalmedian $162 · 10th to 90th $105 to $316
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $144.54 | Professional | None (both parts) | $138.04 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $60.26 | Professional | TC · Technical part | $56.23 | $57.54 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | None (both parts) | $154.88 | $154.88 | $158.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $69.18 | Facility | None | $35.48 | $48.98 | $69.18 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $85.11 | $144.54 | $194.98 |
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 $165.96 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $165.96 | $181.97 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $107.15 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $74.13 | $91.20 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $316.23 | Facility | None | $141.25 | $199.53 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $954.99 | Professional | None (both parts) | $138.04 | $194.98 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $162.18 Typical High $537.03 | Professional | 26 · Professional part | $79.43 | $162.18 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $112.20 Typical High $416.87 | Professional | TC · Technical part | $53.70 | $112.20 | $416.87 |
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 $123.03 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $123.03 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $66.07 | $112.20 |
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 $69.18 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $28.18 | $28.84 |
Where Oklahoma sits
The same service costs 3.6 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· 33rd of 51
$162
AK $380TX $105
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.