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 $26.30 Median $28.84 Typical High $33.11 | Facility | None | $26.30 | $28.84 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $32.36 | Professional | None | $18.62 | $26.30 | $32.36 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $53.70 Typical High $95.50 | Facility | None | $23.44 | $53.70 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $41.69 | Professional | None | $15.85 | $15.85 | $41.69 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $41.69 Typical High $213.80 | Facility | None | $28.84 | $41.69 | $213.80 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $46.77 | Professional | None | $14.79 | $20.42 | $46.77 |
United Setting Facility Modifier None Typical Low $12.59 Median $35.48 Typical High $48.98 | Facility | None | $12.59 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.50 Typical High $30.20 | Professional | None | $14.79 | $19.50 | $30.20 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | 90 · Outside lab | $24.55 | $24.55 | $24.55 |
Where Oklahoma sits
The same service costs 4.3 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· 17th of 51
$35.48
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.