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 $37.15 Median $37.15 Typical High $44.67 | Facility | None | $37.15 | $37.15 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $45.71 | Professional | None | $37.15 | $44.67 | $45.71 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $120.23 | Facility | None | $64.57 | $85.11 | $120.23 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $70.79 | Professional | None | $38.90 | $53.70 | $70.79 |
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 $48.98 Median $60.26 Typical High $75.86 | Professional | None | $48.98 | $60.26 | $75.86 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $83.18 | Facility | None | $40.74 | $56.23 | $83.18 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $302.00 Typical High $478.63 | Professional | None | $50.12 | $302.00 | $478.63 |
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 $36.31 Median $48.98 Typical High $83.18 | Professional | None | $36.31 | $48.98 | $83.18 |
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 $18.62 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $18.62 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.32 | $9.12 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 20th of 51
$56.23
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.