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 $26.92 Median $26.92 Typical High $30.20 | Facility | None | $26.92 | $26.92 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $30.20 | Professional | None | $26.30 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $13.49 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $32.36 Typical High $32.36 | Professional | None | $10.00 | $32.36 | $32.36 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $35.48 | Professional | None | $22.91 | $30.90 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $23.99 Typical High $40.74 | Facility | None | $22.39 | $23.99 | $40.74 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $165.96 | Professional | None | $21.88 | $26.92 | $165.96 |
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 $20.42 Median $26.92 Typical High $47.86 | Professional | None | $20.42 | $26.92 | $47.86 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $26.30 Typical High $32.36 | Professional | 59 · Distinct service | $24.55 | $26.30 | $32.36 |
Where Oklahoma sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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
$28.84
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.