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 $19.05 Median $21.38 Typical High $23.99 | Facility | None | $19.05 | $21.38 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $21.88 | Professional | None | $18.62 | $19.50 | $21.88 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $213.80 | Facility | None | $114.82 | $151.36 | $213.80 |
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 $2.29 Median $18.62 Typical High $31.62 | Facility | None | $2.29 | $18.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.47 | Professional | None | $9.12 | $9.12 | $10.47 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $40.74 | Facility | None | $17.38 | $17.38 | $40.74 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $26.30 Typical High $186.21 | Professional | None | $7.76 | $26.30 | $186.21 |
United Setting Facility Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Facility | None | $25.70 | $95.50 | $151.36 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $15.49 | Professional | None | $6.92 | $12.59 | $15.49 |
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 $9.33 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $4.37 | Professional | 53 · Discontinued | $3.72 | $3.89 | $4.37 |
Where Oklahoma sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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
$12.59
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.