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 $1.17 Median $2.34 Typical High $2.34 | Facility | None | $1.17 | $2.34 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.17 Typical High $1.17 | Professional | None | $1.10 | $1.17 | $1.17 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1.26 Median $2.04 Typical High $3.24 | Facility | None | $1.26 | $2.04 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $2.88 Typical High $3.09 | Facility | None | $1.62 | $2.88 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Medica Setting Facility Modifier None Typical Low $1.51 Median $1.82 Typical High $2.14 | Facility | None | $1.51 | $1.82 | $2.14 |
Medica Setting Professional Modifier None Typical Low $1.26 Median $1.41 Typical High $1.48 | Professional | None | $1.26 | $1.41 | $1.48 |
United Setting Professional Modifier None Typical Low $0.87 Median $1.02 Typical High $1.05 | Professional | None | $0.87 | $1.02 | $1.05 |
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 $0.55 Median $0.59 Typical High $0.59 | Professional | 52 · Reduced service | $0.55 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.24 Typical High $0.24 | Professional | 53 · Discontinued | $0.22 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.17 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.11 | $0.12 | $0.12 |
Where Oklahoma sits
The same service costs 2.7 times more in Wyoming than in Alabama. 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· 10th of 51
$1.17
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.