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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | None | $57.54 | $58.88 | $58.88 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $83.18 | Professional | None | $61.66 | $75.86 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $89.13 | Professional | None | $61.66 | $66.07 | $89.13 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $257.04 | Facility | None | $53.70 | $61.66 | $257.04 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $389.05 | Professional | None | $54.95 | $79.43 | $389.05 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $104.71 | Professional | None | $52.48 | $69.18 | $104.71 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.48 | $11.75 | $11.75 |
Where Oklahoma sits
The same service costs 3.1 times more in Alaska than in New York. 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· 20th of 51
$70.79
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.