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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.49 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | TC · Technical part | $6.92 | $6.92 | $7.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $19.05 Typical High $33.11 | Facility | None | $14.13 | $19.05 | $33.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $16.98 Median $20.89 Typical High $114.82 | Professional | None (both parts) | $16.98 | $20.89 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.49 Typical High $114.82 | Professional | 26 · Professional part | $7.41 | $13.49 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $17.38 Typical High $70.79 | Professional | TC · Technical part | $8.91 | $17.38 | $70.79 |
United Setting Facility Modifier None Typical Low $16.60 Median $60.26 Typical High $97.72 | Facility | None | $16.60 | $60.26 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.05 Typical High $33.11 | Professional | None (both parts) | $15.14 | $19.05 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $8.71 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.47 Typical High $18.62 | Professional | TC · Technical part | $8.32 | $10.47 | $18.62 |
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 $6.76 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.75 | $2.75 |
Where Oklahoma sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 39th of 51
$19.05
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.