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 $19.95 Median $25.70 Typical High $53.70 | Facility | None | $19.95 | $25.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $24.55 | Professional | None | $19.95 | $20.42 | $24.55 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $100.00 | Facility | None | $51.29 | $70.79 | $100.00 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | None | $25.70 | $25.70 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $40.74 Typical High $74.13 | Facility | None | $17.78 | $40.74 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $35.48 | Professional | None | $12.02 | $12.02 | $35.48 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $128.82 | Facility | None | $21.38 | $31.62 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $29.51 | Professional | None | $11.48 | $12.59 | $29.51 |
United Setting Facility Modifier None Typical Low $9.77 Median $26.92 Typical High $32.36 | Facility | None | $9.77 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $16.98 | Professional | None | $11.48 | $11.75 | $16.98 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 90 · Outside lab | $18.62 | $18.62 | $18.62 |
Where Oklahoma sits
The same service costs 4.9 times more in Minnesota 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· 33rd of 51
$25.70
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.