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 Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | None | $4.47 | $4.47 | $4.57 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $141.25 | Facility | None | $72.44 | $102.33 | $141.25 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $7.76 | Professional | None | $4.57 | $6.17 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $63.10 Typical High $467.74 | Facility | None | $61.66 | $63.10 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medica Setting Facility Modifier None Typical Low $4.57 Median $7.94 Typical High $87.10 | Facility | None | $4.57 | $7.94 | $87.10 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.76 Typical High $426.58 | Professional | None | $4.47 | $6.76 | $426.58 |
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 $4.07 Median $5.01 Typical High $21.88 | Professional | None | $4.07 | $5.01 | $21.88 |
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 $0.87 Median $0.87 Typical High $0.87 | Facility | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.24 Typical High $2.29 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $0.91 | Professional | 53 · Discontinued | $0.87 | $0.89 | $0.91 |
Where Oklahoma sits
The same service costs 3.9 times more in Indiana than in New York. 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· 41st of 51
$6.31
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.