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 $66.07 Median $93.33 Typical High $97.72 | Facility | None | $66.07 | $93.33 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | None | $51.29 | $51.29 | $64.57 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $100.00 | Professional | None | $74.13 | $91.20 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $95.50 | Professional | None | $69.18 | $85.11 | $95.50 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $104.71 | Facility | None | $66.07 | $97.72 | $104.71 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $489.78 | Professional | None | $63.10 | $83.18 | $489.78 |
United Setting Facility Modifier None Typical Low $31.62 Median $117.49 Typical High $186.21 | Facility | None | $31.62 | $117.49 | $186.21 |
United Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | None | $64.57 | $75.86 | $93.33 |
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 $51.29 Median $60.26 Typical High $60.26 | Professional | 59 · Distinct service | $51.29 | $60.26 | $60.26 |
Where Oklahoma sits
The same service costs 3.0 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· 32nd of 51
$85.11
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.