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 $58.88 | Facility | None | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | None | $57.54 | $57.54 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | None | $58.88 | $75.86 | $75.86 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $97.72 | Professional | None | $70.79 | $77.62 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | None | $46.77 | $72.44 | $72.44 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $223.87 | Facility | None | $57.54 | $63.10 | $223.87 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $446.68 Typical High $457.09 | Professional | None | $64.57 | $446.68 | $457.09 |
United Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $93.33 | Professional | None | $60.26 | $74.13 | $93.33 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Where Oklahoma sits
The same service costs 3.0 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· 31st of 51
$72.44
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.