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 $3.16 Median $4.90 Typical High $5.25 | Facility | None | $3.16 | $4.90 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $7.59 | Facility | None | $2.95 | $4.79 | $7.59 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.27 | Professional | None | $3.63 | $3.63 | $4.27 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $5.25 | Facility | None | $3.16 | $3.16 | $5.25 |
Medica Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $4.90 | Professional | None | $3.55 | $3.98 | $4.90 |
United Setting Professional Modifier None Typical Low $3.63 Median $3.80 Typical High $4.47 | Professional | None | $3.63 | $3.80 | $4.47 |
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 JZ · No drug discarded Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | JZ · No drug discarded | $2.95 | $2.95 | $2.95 |
Where Oklahoma sits
The same service costs 2.8 times more in Wyoming than in Florida. 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· 8th of 51
$4.27
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.