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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 $147.91 Median $199.53 Typical High $204.17 | Professional | None | $147.91 | $199.53 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $354.81 | Facility | None | $100.00 | $104.71 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | None | $100.00 | $100.00 | $141.25 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $302.00 | Facility | None | $117.49 | $257.04 | $302.00 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $1,318.26 | Professional | None | $120.23 | $218.78 | $1,318.26 |
United Setting Facility Modifier None Typical Low $41.69 Median $154.88 Typical High $245.47 | Facility | None | $41.69 | $154.88 | $245.47 |
United Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $288.40 | Professional | None | $134.90 | $169.82 | $288.40 |
3 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 Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $34.67 | Facility | 53 · Discontinued | $22.91 | $22.91 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $23.44 | $24.55 |
Where Oklahoma sits
The same service costs 5.0 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· 29th of 51
$200
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.