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 $10.00 Median $11.22 Typical High $12.59 | Facility | None | $10.00 | $11.22 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $12.59 | Professional | None | $7.24 | $10.00 | $12.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $60.26 | Facility | None | $30.90 | $42.66 | $60.26 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | None | $12.88 | $12.88 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $17.38 Typical High $37.15 | Facility | None | $8.91 | $17.38 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $16.60 | Professional | None | $6.03 | $6.03 | $16.60 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $23.99 Typical High $64.57 | Facility | None | $10.00 | $23.99 | $64.57 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $16.98 | Professional | None | $5.75 | $7.76 | $16.98 |
United Setting Facility Modifier None Typical Low $4.90 Median $13.49 Typical High $16.22 | Facility | None | $4.90 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $10.96 | Professional | None | $5.75 | $7.59 | $10.96 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 90 · Outside lab | $9.33 | $9.33 | $9.33 |
Where Oklahoma sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 34th of 51
$12.02
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.