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 $45.71 Median $60.26 Typical High $60.26 | Facility | None | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $120.23 | Facility | None | $63.10 | $109.65 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $263.03 | Facility | None | $51.29 | $58.88 | $263.03 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $63.10 | Professional | None | $51.29 | $52.48 | $63.10 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $48.98 | Professional | None | $39.81 | $42.66 | $48.98 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | JZ · No drug discarded | $41.69 | $41.69 | $41.69 |
Where Oklahoma sits
The same service costs 2.5 times more in Wyoming than in Washington, DC. 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· 21st of 51
$47.86
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.