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 $141.25 Median $141.25 Typical High $213.80 | Facility | None | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | None | $120.23 | $141.25 | $141.25 |
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 $181.97 Median $234.42 Typical High $245.47 | Professional | None | $181.97 | $234.42 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $346.74 | Facility | None | $147.91 | $309.03 | $346.74 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $1,737.80 | Professional | None | $147.91 | $263.03 | $1,737.80 |
United Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $354.81 | Professional | None | $162.18 | $204.17 | $354.81 |
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 $70.79 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $28.84 | $29.51 |
Where Oklahoma sits
The same service costs 2.5 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· 34th of 51
$219
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.