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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | None (both parts) | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | TC · Technical part | $275.42 | $275.42 | $281.84 |
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 $44.67 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $44.67 | $331.13 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $323.59 | $446.68 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $56.23 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $389.05 | $416.87 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $741.31 | Facility | None | $323.59 | $436.52 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $2,344.23 | Professional | None (both parts) | $302.00 | $426.58 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $85.11 Typical High $281.84 | Professional | 26 · Professional part | $41.69 | $85.11 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $549.54 Typical High $2,041.74 | Professional | TC · Technical part | $263.03 | $549.54 | $2,041.74 |
United Setting Facility Modifier None Typical Low $380.19 Median $1,380.38 Typical High $2,238.72 | Facility | None | $380.19 | $1,380.38 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $288.40 | $371.54 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $245.47 | $316.23 | $549.54 |
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 $158.49 Median $162.18 Typical High $169.82 | Professional | 52 · Reduced service | $158.49 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $63.10 | $64.57 | $67.61 |
Where Oklahoma sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 43rd of 51
$347
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.