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 $18.20 Median $27.54 Typical High $28.84 | Facility | None | $18.20 | $27.54 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | None | $18.20 | $18.62 | $18.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $457.09 | Facility | None | $177.83 | $288.40 | $457.09 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $26.92 | Professional | None | $19.50 | $26.30 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $30.20 | Professional | None | $20.42 | $20.89 | $30.20 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $23.44 Typical High $81.28 | Facility | None | $19.05 | $23.44 | $81.28 |
Medica Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $38.02 | Professional | None | $16.98 | $23.44 | $38.02 |
United Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $38.02 | Professional | None | $16.98 | $23.44 | $38.02 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | 59 · Distinct service | $15.14 | $15.14 | $17.78 |
Where Oklahoma sits
The same service costs 22.4 times more in Alabama 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· 23rd of 51
$28.18
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.