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 $8.91 Median $10.00 Typical High $11.22 | Facility | None | $8.91 | $10.00 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $11.48 | Professional | None | $8.91 | $9.12 | $11.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $67.61 | Facility | None | $36.31 | $47.86 | $67.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $19.95 Typical High $33.11 | Facility | None | $10.23 | $19.95 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.59 | Professional | None | $5.37 | $5.37 | $7.59 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $14.13 Typical High $23.99 | Facility | None | $9.55 | $14.13 | $23.99 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $15.14 Typical High $89.13 | Professional | None | $5.13 | $15.14 | $89.13 |
United Setting Facility Modifier None Typical Low $4.37 Median $12.02 Typical High $14.45 | Facility | None | $4.37 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.24 | Professional | None | $5.13 | $5.13 | $7.24 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.57 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $4.57 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $1.82 | $2.24 |
Where Oklahoma sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 49th of 51
$7.08
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.