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 $28.18 Median $31.62 Typical High $35.48 | Facility | None | $28.18 | $31.62 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $28.84 | Professional | None | $20.89 | $28.18 | $28.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $40.74 | Facility | None | $21.88 | $28.84 | $40.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $27.54 Typical High $46.77 | Facility | None | $3.39 | $27.54 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $26.30 | Professional | None | $12.30 | $13.49 | $26.30 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $186.21 | Facility | None | $25.70 | $25.70 | $186.21 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $28.84 | Professional | None | $12.88 | $19.05 | $28.84 |
United Setting Facility Modifier None Typical Low $158.49 Median $575.44 Typical High $933.25 | Facility | None | $158.49 | $575.44 | $933.25 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $26.92 | Professional | None | $12.88 | $19.05 | $26.92 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 90 · Outside lab | $58.88 | $58.88 | $58.88 |
Where Oklahoma sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 42nd of 51
$25.12
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.