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 $16.98 Median $19.05 Typical High $21.38 | Facility | None | $16.98 | $19.05 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $19.05 | Professional | None | $16.60 | $16.98 | $19.05 |
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 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $16.60 Typical High $27.54 | Facility | None | $2.04 | $16.60 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $11.75 | Professional | None | $7.94 | $8.13 | $11.75 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $75.86 | Facility | None | $15.14 | $15.14 | $75.86 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $22.91 Typical High $162.18 | Professional | None | $8.13 | $22.91 | $162.18 |
United Setting Facility Modifier None Typical Low $74.13 Median $275.42 Typical High $446.68 | Facility | None | $74.13 | $275.42 | $446.68 |
United Setting Professional Modifier None Typical Low $6.92 Median $11.22 Typical High $13.80 | Professional | None | $6.92 | $11.22 | $13.80 |
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 $8.13 Median $8.51 Typical High $9.55 | Professional | 52 · Reduced service | $8.13 | $8.51 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.47 Typical High $3.89 | Professional | 53 · Discontinued | $3.31 | $3.47 | $3.89 |
Where Oklahoma sits
The same service costs 14.8 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· 43rd of 51
$11.22
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.