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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $104.71 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $3,801.89 | Facility | None | $169.82 | $169.82 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $123.03 | $123.03 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $138.04 | $162.18 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $446.68 | Facility | None | $109.65 | $138.04 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $691.83 | Professional | None (both parts) | $97.72 | $141.25 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
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 $91.20 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $91.20 | $114.82 | $204.17 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 28th of 51
$123
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.