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 $7.59 Median $7.59 Typical High $18.20 | Facility | None | $7.59 | $7.59 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $19.05 | Professional | None | $7.59 | $15.49 | $19.05 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $218.78 | Facility | None | $117.49 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $30.90 | Professional | None | $10.96 | $13.49 | $30.90 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $18.20 Typical High $28.84 | Facility | None | $10.96 | $18.20 | $28.84 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $79.43 Typical High $128.82 | Professional | None | $18.20 | $79.43 | $128.82 |
United Setting Professional Modifier None Typical Low $7.41 Median $16.22 Typical High $26.30 | Professional | None | $7.41 | $16.22 | $26.30 |
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 $3.80 Median $7.94 Typical High $9.33 | Professional | 52 · Reduced service | $3.80 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $3.16 Typical High $3.72 | Professional | 53 · Discontinued | $1.51 | $3.16 | $3.72 |
Where Oklahoma sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 10th of 51
$21.38
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.