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 $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $3.31 | Professional | None | $3.09 | $3.31 | $3.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $13.18 Median $19.95 Typical High $28.18 | Facility | None | $13.18 | $19.95 | $28.18 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $8.13 Typical High $8.71 | Facility | None | $4.57 | $8.13 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $10.72 Typical High $10.72 | Facility | None | $3.47 | $10.72 | $10.72 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $3.47 | Professional | None | $2.29 | $3.24 | $3.47 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.16 Typical High $3.47 | Professional | None | $2.63 | $3.16 | $3.47 |
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 KX · Policy requirements met Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | KX · Policy requirements met | $3.16 | $3.16 | $3.16 |
Where Oklahoma sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 1st of 51
$10.72
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.