How much rates vary
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $46.77 | $47.86 | $47.86 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $218.78 | Facility | None | $117.49 | $154.88 | $218.78 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $34.67 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $34.67 | $79.43 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $223.87 | Facility | None | $38.02 | $38.90 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $123.03 | Professional | None (both parts) | $72.44 | $97.72 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $33.88 | $38.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $58.88 | $74.13 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $123.03 | Facility | None | $77.62 | $123.03 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $660.69 | Professional | None (both parts) | $69.18 | $97.72 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $66.07 Typical High $331.13 | Professional | 26 · Professional part | $29.51 | $66.07 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $100.00 Typical High $346.74 | Professional | TC · Technical part | $41.69 | $100.00 | $346.74 |
United Setting Facility Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Facility | None | $25.70 | $95.50 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $67.61 | $83.18 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $48.98 | $93.33 |
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 $38.02 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.49 | $15.49 |
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· 27th of 51
$89.13
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.