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 $114.82 Median $162.18 Typical High $309.03 | Facility | None | $114.82 | $162.18 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $162.18 | Professional | None | $112.20 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $67.61 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $67.61 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Professional | None | $173.78 | $204.17 | $251.19 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $269.15 | Professional | None | $138.04 | $190.55 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $218.78 | Professional | None | $141.25 | $173.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $229.09 | Facility | None | $125.89 | $151.36 | $229.09 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $1,288.25 | Professional | None | $147.91 | $281.84 | $1,288.25 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $234.42 | Professional | None | $104.71 | $162.18 | $234.42 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 25 · Same-day visit | $173.78 | $173.78 | $173.78 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 34th of 51
$162
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.