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 $91.20 | Facility | None | $58.88 | $58.88 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $467.74 | Facility | None | $239.88 | $338.84 | $467.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $331.13 | Professional | None | $223.87 | $302.00 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | None | $288.40 | $316.23 | $316.23 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $1,096.48 | Facility | None | $56.23 | $66.07 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $199.53 Typical High $1,258.93 | Professional | None | $36.31 | $199.53 | $1,258.93 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $64.57 | Professional | None | $32.36 | $40.74 | $64.57 |
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 $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Oklahoma sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 32nd of 51
$224
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.