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 $57.54 Median $57.54 Typical High $81.28 | Facility | None | $57.54 | $57.54 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $81.28 | Professional | None | $57.54 | $67.61 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $120.23 | Professional | None | $77.62 | $95.50 | $120.23 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $128.82 | Professional | None | $67.61 | $93.33 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | None | $63.10 | $74.13 | $97.72 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $123.03 | Facility | None | $60.26 | $87.10 | $123.03 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $426.58 Typical High $616.60 | Professional | None | $81.28 | $426.58 | $616.60 |
United Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $104.71 | Professional | None | $57.54 | $75.86 | $104.71 |
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 $28.84 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $28.84 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.72 Typical High $12.02 | Professional | 55 · Aftercare only | $8.51 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $8.13 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $77.62 Median $95.50 Typical High $112.20 | Professional | 25 · Same-day visit | $77.62 | $95.50 | $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· 23rd of 51
$93.33
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.