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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | None | $48.98 | $48.98 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $281.84 | Facility | None | $263.03 | $263.03 | $281.84 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $74.13 | Professional | None | $51.29 | $69.18 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | None | $58.88 | $64.57 | $83.18 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $52.48 Typical High $223.87 | Facility | None | $45.71 | $52.48 | $223.87 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $323.59 Typical High $331.13 | Professional | None | $52.48 | $323.59 | $331.13 |
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 $44.67 Median $58.88 Typical High $97.72 | Professional | None | $44.67 | $58.88 | $97.72 |
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 $24.55 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $9.77 | $10.00 | $10.00 |
Where Oklahoma sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$64.57
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.