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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | None | $16.22 | $16.22 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $16.98 | Professional | None | $13.18 | $15.49 | $16.98 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $23.44 | Professional | None | $12.88 | $16.98 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $25.12 | Professional | None | $19.50 | $21.88 | $25.12 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $269.15 | Facility | None | $16.60 | $23.44 | $269.15 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $120.23 | Professional | None | $16.60 | $21.38 | $120.23 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $27.54 | Professional | None | $16.22 | $20.42 | $27.54 |
3 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 $8.13 Median $8.32 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.31 | $3.89 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | GP · Physical therapy plan | $15.49 | $15.49 | $15.49 |
Where Oklahoma sits
The same service costs 2.3 times more in Minnesota 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· 35th of 51
$19.95
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.