How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $223.87 | Professional | None | $154.88 | $218.78 | $223.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $316.23 | Professional | None | $181.97 | $245.47 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $954.99 | Facility | None | $194.98 | $234.42 | $954.99 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $1,174.90 | Professional | None | $173.78 | $208.93 | $1,174.90 |
United Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $275.42 | Professional | None | $158.49 | $199.53 | $275.42 |
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 $79.43 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $109.65 | $112.20 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 22nd of 51
$200
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.