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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | None | $28.18 | $28.18 | $31.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $58.88 | Facility | None | $33.88 | $45.71 | $58.88 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $44.67 | Professional | None | $32.36 | $43.65 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $467.74 | Facility | None | $91.20 | $93.33 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $41.69 | Professional | None | $23.99 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $56.23 | Facility | None | $28.18 | $38.90 | $56.23 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $234.42 | Professional | None | $21.88 | $31.62 | $234.42 |
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 $21.38 Median $28.84 Typical High $35.48 | Professional | None | $21.38 | $28.84 | $35.48 |
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 $14.13 Median $14.13 Typical High $15.85 | Professional | 52 · Reduced service | $14.13 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.31 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 30th of 51
$35.48
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.