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 $87.10 Median $158.49 Typical High $1,513.56 | Facility | None | $87.10 | $158.49 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | None | $87.10 | $95.50 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,445.44 | Facility | None | $562.34 | $912.01 | $1,445.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $162.18 | Professional | None | $107.15 | $120.23 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $4,897.79 | Facility | None | $2,511.89 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $151.36 | Professional | None | $109.65 | $120.23 | $151.36 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $177.83 | Facility | None | $95.50 | $154.88 | $177.83 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $676.08 Typical High $1,174.90 | Professional | None | $112.20 | $676.08 | $1,174.90 |
United Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | None | $95.50 | $114.82 | $154.88 |
4 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 $43.65 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.45 Typical High $15.14 | Professional | 55 · Aftercare only | $12.88 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.55 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.71 | $9.55 | $10.23 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 25 · Same-day visit | $102.33 | $102.33 | $114.82 |
Where Oklahoma sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 34th of 51
$120
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.