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 $9.55 Median $10.72 Typical High $12.02 | Facility | None | $9.55 | $10.72 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $14.45 | Professional | None | $6.76 | $9.55 | $14.45 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $40.74 | Facility | None | $20.42 | $28.84 | $40.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $17.38 Typical High $35.48 | Facility | None | $8.51 | $17.38 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $15.14 | Professional | None | $5.75 | $5.75 | $15.14 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $177.83 | Facility | None | $10.72 | $15.14 | $177.83 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $16.60 | Professional | None | $5.37 | $6.92 | $16.60 |
United Setting Facility Modifier None Typical Low $4.68 Median $12.88 Typical High $15.49 | Facility | None | $4.68 | $12.88 | $15.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $9.77 | Professional | None | $5.37 | $6.61 | $9.77 |
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 3.0 times more in Alaska than in Maryland. 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· 31st of 51
$12.30
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.