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 $10.72 Median $10.72 Typical High $21.38 | Facility | None | $10.72 | $10.72 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $15.14 Typical High $21.38 | Professional | None | $10.47 | $15.14 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $23.99 | Professional | None | $9.12 | $15.49 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $16.60 Typical High $24.55 | Facility | None | $8.71 | $16.60 | $24.55 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $66.07 Typical High $117.49 | Professional | None | $14.79 | $66.07 | $117.49 |
United Setting Facility Modifier None Typical Low $16.60 Median $60.26 Typical High $97.72 | Facility | None | $16.60 | $60.26 | $97.72 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $19.95 | Professional | None | $7.76 | $14.45 | $19.95 |
2 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 $5.13 Median $5.37 Typical High $10.47 | Professional | 52 · Reduced service | $5.13 | $5.37 | $10.47 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 59 · Distinct service | $14.79 | $14.79 | $18.20 |
Where Oklahoma sits
The same service costs 2.3 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· 19th of 51
$16.60
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.