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 $21.88 Median $21.88 Typical High $33.11 | Facility | None | $21.88 | $21.88 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $30.20 | Professional | None | $20.42 | $23.99 | $30.20 |
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 $26.30 Median $35.48 Typical High $36.31 | Professional | None | $26.30 | $35.48 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $42.66 | Professional | None | $32.36 | $35.48 | $42.66 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $23.44 Typical High $114.82 | Facility | None | $21.88 | $23.44 | $114.82 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $165.96 | Professional | None | $22.91 | $30.20 | $165.96 |
United Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $44.67 | Professional | None | $22.91 | $28.18 | $44.67 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.37 | $4.47 | $4.47 |
Where Oklahoma sits
The same service costs 2.9 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
$33.11
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.