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 $58.88 Median $58.88 Typical High $89.13 | Facility | None | $58.88 | $58.88 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | None | $67.61 | $87.10 | $87.10 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $467.74 | Facility | None | $257.04 | $338.84 | $467.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $100.00 | Professional | None | $72.44 | $97.72 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | None | $93.33 | $93.33 | $134.90 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $131.83 Typical High $186.21 | Facility | None | $61.66 | $131.83 | $186.21 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $1,548.82 | Professional | None | $61.66 | $120.23 | $1,548.82 |
United Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $177.83 | Professional | None | $72.44 | $89.13 | $177.83 |
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 $29.51 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
Where Oklahoma sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 38th of 51
$93.33
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.