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 $66.07 Median $66.07 Typical High $93.33 | Facility | None | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $93.33 | Professional | None | $66.07 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $151.36 | Professional | None | $104.71 | $104.71 | $151.36 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $151.36 | Professional | None | $79.43 | $107.15 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $114.82 | Professional | None | $72.44 | $93.33 | $114.82 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $151.36 | Facility | None | $72.44 | $102.33 | $151.36 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $501.19 Typical High $707.95 | Professional | None | $95.50 | $501.19 | $707.95 |
United Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $123.03 | Professional | None | $67.61 | $95.50 | $123.03 |
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 $33.11 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $33.11 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.88 Typical High $14.13 | Professional | 55 · Aftercare only | $10.00 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.51 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.61 | $8.51 | $9.33 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | 25 · Same-day visit | $95.50 | $112.20 | $138.04 |
Where Oklahoma sits
The same service costs 2.8 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· 27th of 51
$107
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.