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 $61.66 Median $61.66 Typical High $67.61 | Facility | None | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $67.61 | Professional | None | $61.66 | $66.07 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $83.18 | Professional | None | $53.70 | $63.10 | $83.18 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $112.20 | Professional | None | $75.86 | $81.28 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $83.18 | Professional | None | $53.70 | $75.86 | $83.18 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $257.04 | Facility | None | $61.66 | $67.61 | $257.04 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $478.63 Typical High $524.81 | Professional | None | $74.13 | $478.63 | $524.81 |
United Setting Facility Modifier None Typical Low $44.67 Median $165.96 Typical High $263.03 | Facility | None | $44.67 | $165.96 | $263.03 |
United Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $102.33 | Professional | None | $64.57 | $81.28 | $102.33 |
3 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 $30.20 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $30.20 | $33.11 | $34.67 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $63.10 Median $70.79 Typical High $83.18 | Professional | 25 · Same-day visit | $63.10 | $70.79 | $83.18 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $63.10 Median $83.18 Typical High $87.10 | Professional | 33 · Preventive service | $63.10 | $83.18 | $87.10 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska than in New York. 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· 30th of 51
$81.28
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.