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 $56.23 Median $56.23 Typical High $85.11 | Facility | None | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | None | $67.61 | $85.11 | $85.11 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $204.17 | Facility | None | $109.65 | $144.54 | $204.17 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $97.72 | Professional | None | $66.07 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $123.03 | Professional | None | $91.20 | $97.72 | $123.03 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $114.82 Typical High $134.90 | Facility | None | $58.88 | $114.82 | $134.90 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $1,412.54 | Professional | None | $63.10 | $93.33 | $1,412.54 |
United Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $131.83 | Professional | None | $57.54 | $72.44 | $131.83 |
3 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 $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $63.10 |
Where Oklahoma sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 36th of 51
$89.13
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.