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 $11.75 Median $17.78 Typical High $70.79 | Facility | None | $11.75 | $17.78 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $45.71 | Professional | None | $11.75 | $25.12 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $46.77 | Professional | None | $9.77 | $13.18 | $46.77 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $12.02 Median $30.20 Typical High $66.07 | Professional | None | $12.02 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $46.77 Typical High $63.10 | Professional | None | $13.80 | $46.77 | $63.10 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $45.71 Typical High $165.96 | Facility | None | $12.02 | $45.71 | $165.96 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $190.55 Typical High $323.59 | Professional | None | $46.77 | $190.55 | $323.59 |
United Setting Professional Modifier None Typical Low $10.72 Median $36.31 Typical High $69.18 | Professional | None | $10.72 | $36.31 | $69.18 |
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 53 · Discontinued Typical Low $2.34 Median $3.09 Typical High $9.12 | Professional | 53 · Discontinued | $2.34 | $3.09 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 59 · Distinct service | $11.22 | $11.22 | $11.22 |
Where Oklahoma sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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
$44.67
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.