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 $102.33 Median $120.23 Typical High $162.18 | Facility | None | $102.33 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $162.18 | Professional | None | $102.33 | $120.23 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $123.03 | Professional | None | $75.86 | $83.18 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $128.82 | Professional | None | $91.20 | $120.23 | $128.82 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $501.19 | Facility | None | $104.71 | $151.36 | $501.19 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $741.31 | Professional | None | $97.72 | $114.82 | $741.31 |
United Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $562.34 | Facility | None | $95.50 | $346.74 | $562.34 |
United Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $165.96 | Professional | None | $97.72 | $114.82 | $165.96 |
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 $51.29 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $21.88 | $22.91 |
Where Oklahoma sits
The same service costs 2.3 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· 49th of 51
$97.72
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.