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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | TC · Technical part | $63.10 | $63.10 | $64.57 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $316.23 | Facility | None | $165.96 | $223.87 | $316.23 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $33.88 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $33.88 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $575.44 | Facility | None | $75.86 | $75.86 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $63.10 | $123.03 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $42.66 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $79.43 | $79.43 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $138.04 | Facility | None | $87.10 | $107.15 | $138.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $691.83 | Professional | None (both parts) | $64.57 | $112.20 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $72.44 Typical High $223.87 | Professional | 26 · Professional part | $32.36 | $72.44 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $120.23 Typical High $467.74 | Professional | TC · Technical part | $26.92 | $120.23 | $467.74 |
United Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $331.13 | Facility | None | $56.23 | $208.93 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $63.10 | $87.10 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $24.55 | $53.70 | $107.15 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 38th of 51
$97.72
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.