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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $173.78 | Professional | None | $63.10 | $91.20 | $173.78 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $154.88 | Professional | None | $75.86 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $102.33 | Facility | None | $66.07 | $74.13 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $165.96 | Professional | None | $83.18 | $120.23 | $165.96 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $2,630.27 | Facility | None | $104.71 | $186.21 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $575.44 Typical High $851.14 | Professional | None | $125.89 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,454.71 | Facility | None | $269.15 | $1,258.93 | $2,454.71 |
United Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $165.96 | Professional | None | $75.86 | $109.65 | $165.96 |
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 $31.62 Median $32.36 Typical High $46.77 | Professional | 52 · Reduced service | $31.62 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $19.05 | Professional | 53 · Discontinued | $12.59 | $13.18 | $19.05 |
Where Oklahoma sits
The same service costs 2.8 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· 16th of 51
$141
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.