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 $24.55 Median $24.55 Typical High $31.62 | Facility | None | $24.55 | $24.55 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | None | $24.55 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | None | $38.90 | $38.90 | $41.69 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | None | $30.20 | $38.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $45.71 | Professional | None | $25.70 | $37.15 | $45.71 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $134.90 | Facility | None | $24.55 | $31.62 | $134.90 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $190.55 Typical High $251.19 | Professional | None | $35.48 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $46.77 | Professional | None | $26.30 | $34.67 | $46.77 |
2 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 $12.30 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.30 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $6.31 | $6.31 |
Where Oklahoma sits
The same service costs 2.4 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· 25th of 51
$38.90
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.