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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | RR · Rental | $38.90 | $38.90 | $51.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Facility | RR · Rental | $34.67 | $34.67 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $5,248.07 | Facility | None | $41.69 | $41.69 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $51.29 | Professional | None | $15.49 | $19.50 | $51.29 |
Medica Setting Professional Modifier RR · Rental Typical Low $19.50 Median $51.29 Typical High $245.47 | Professional | RR · Rental | $19.50 | $51.29 | $245.47 |
United Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $51.29 | Professional | None | $15.49 | $19.50 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $15.49 Median $22.91 Typical High $51.29 | Professional | RR · Rental | $15.49 | $22.91 | $51.29 |
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 UE · Used equipment Typical Low $190.55 Median $208.93 Typical High $245.47 | Professional | UE · Used equipment | $190.55 | $208.93 | $245.47 |
Where Oklahoma sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 49th of 51
$42.66
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.