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 $10.00 Median $10.96 Typical High $13.49 | Facility | None | $10.00 | $10.96 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $12.59 | Professional | None | $10.00 | $12.59 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $18.20 | Professional | None | $10.23 | $14.45 | $18.20 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $72.44 | Facility | None | $39.81 | $52.48 | $72.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $20.42 | Professional | None | $12.02 | $14.79 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $15.85 | Professional | None | $9.33 | $13.49 | $15.85 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $16.98 Typical High $19.95 | Facility | None | $10.72 | $16.98 | $19.95 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $199.53 | Professional | None | $12.30 | $15.85 | $199.53 |
United Setting Facility Modifier None Typical Low $16.60 Median $60.26 Typical High $97.72 | Facility | None | $16.60 | $60.26 | $97.72 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $16.22 | Professional | None | $10.00 | $12.59 | $16.22 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | 25 · Same-day visit | $12.30 | $14.45 | $14.45 |
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
$14.13
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.