How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $29.51 Median $37.15 Typical High $48.98 | Facility | None | $29.51 | $37.15 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $48.98 | Professional | None | $29.51 | $37.15 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $40.74 | Professional | None | $21.38 | $25.12 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $38.90 | Professional | None | $26.92 | $38.90 | $38.90 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $831.76 | Facility | None | $43.65 | $51.29 | $831.76 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $218.78 | Professional | None | $29.51 | $30.90 | $218.78 |
United Setting Facility Modifier None Typical Low $194.98 Median $724.44 Typical High $1,148.15 | Facility | None | $194.98 | $724.44 | $1,148.15 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | None | $32.36 | $32.36 | $50.12 |
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 $14.79 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $14.79 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Oklahoma sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 47th of 51
$31.62
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.