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 $63.10 Median $63.10 Typical High $89.13 | Facility | None | $63.10 | $63.10 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $89.13 | Professional | None | $63.10 | $72.44 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | None | $74.13 | $102.33 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $109.65 | Professional | None | $69.18 | $85.11 | $109.65 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $138.04 | Facility | None | $67.61 | $95.50 | $138.04 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $467.74 Typical High $691.83 | Professional | None | $91.20 | $467.74 | $691.83 |
United Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | None | $63.10 | $89.13 | $117.49 |
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 $30.90 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.30 Typical High $13.49 | Professional | 55 · Aftercare only | $9.33 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.13 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.31 | $8.13 | $8.91 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $91.20 Median $107.15 Typical High $112.20 | Professional | 25 · Same-day visit | $91.20 | $107.15 | $112.20 |
Where Oklahoma sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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· 28th of 51
$102
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.