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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | None | $660.69 | $660.69 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,128.61 | Facility | None | $1,995.26 | $3,235.94 | $5,128.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $3,467.37 | Facility | None | $616.60 | $724.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $4,677.35 | Professional | None | $660.69 | $977.24 | $4,677.35 |
United Setting Facility Modifier None Typical Low $162.18 Median $602.56 Typical High $977.24 | Facility | None | $162.18 | $602.56 | $977.24 |
United Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,380.38 | Professional | None | $602.56 | $794.33 | $1,380.38 |
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 $331.13 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $134.90 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $134.90 | $138.04 |
Where Oklahoma sits
The same service costs 4.1 times more in Nebraska than in Arkansas. 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· 16th of 51
$933
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.