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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | None | $17.78 | $18.20 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $15.49 | Professional | None | $13.49 | $15.14 | $15.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $79.43 | Facility | None | $42.66 | $57.54 | $79.43 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $20.89 | Professional | None | $15.14 | $18.62 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $27.54 | Facility | None | $13.18 | $16.60 | $27.54 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $165.96 | Professional | None | $12.30 | $15.85 | $165.96 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $17.78 | Facility | None | $12.88 | $12.88 | $17.78 |
United Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $19.50 | Professional | None | $12.59 | $15.49 | $19.50 |
4 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 $6.92 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $6.92 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.55 Typical High $3.63 | Professional | 53 · Discontinued | $2.75 | $3.55 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.63 Typical High $2.75 | Professional | 55 · Aftercare only | $2.04 | $2.63 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.78 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.38 | $1.78 | $1.82 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 33rd of 51
$16.22
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.