How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $19.95 Median $19.95 Typical High $30.20 | Facility | None | $19.95 | $19.95 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | None | $19.95 | $19.95 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $26.30 | Professional | None | $18.62 | $20.42 | $26.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $32.36 | Professional | None | $23.99 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $38.90 | Professional | None | $28.84 | $31.62 | $38.90 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $102.33 | Facility | None | $19.95 | $21.38 | $102.33 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $151.36 | Professional | None | $20.89 | $26.92 | $151.36 |
United Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $40.74 | Professional | None | $20.89 | $25.70 | $40.74 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska 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· 25th of 51
$29.51
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.