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 $10.47 Median $11.75 Typical High $13.18 | Facility | None | $10.47 | $11.75 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $10.72 | Professional | None | $7.08 | $10.47 | $10.72 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $45.71 | Facility | None | $25.12 | $33.11 | $45.71 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.13 | Professional | None | $13.49 | $13.49 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $38.90 | Facility | None | $7.59 | $14.13 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.31 Typical High $11.22 | Professional | None | $5.25 | $6.31 | $11.22 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $100.00 | Facility | None | $10.23 | $11.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $14.79 | Professional | None | $5.01 | $5.89 | $14.79 |
United Setting Facility Modifier None Typical Low $5.13 Median $14.13 Typical High $75.86 | Facility | None | $5.13 | $14.13 | $75.86 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $8.51 | Professional | None | $5.01 | $5.89 | $8.51 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.91 | $8.91 | $8.91 |
Where Oklahoma sits
The same service costs 3.7 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· 45th of 51
$10.47
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.