How much rates vary
Facilitymedian $214 · 10th to 90th $85 to $316Professionalmedian $68 · 10th to 90th $23 to $145
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | None (both parts) | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $40.74 | $40.74 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None (both parts) | $67.61 | $67.61 | $69.18 |
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 $18.20 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $18.20 | $61.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,148.15 | Facility | None | $169.82 | $169.82 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $79.43 | $79.43 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $19.95 | $22.91 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $56.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $213.80 | Facility | None | $58.88 | $213.80 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $123.03 Typical High $812.83 | Professional | None (both parts) | $61.66 | $123.03 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $38.90 Typical High $416.87 | Professional | 26 · Professional part | $17.38 | $38.90 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $123.03 Typical High $562.34 | Professional | TC · Technical part | $43.65 | $123.03 | $562.34 |
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 $53.70 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $53.70 | $77.62 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $15.14 | $19.95 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $38.90 | $56.23 | $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 $28.84 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $28.84 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.30 |
Where Oklahoma sits
The same service costs 3.2 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
$75.86
AK $162TX $51.29
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.