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 $0.62 Median $0.62 Typical High $0.68 | Facility | None | $0.62 | $0.62 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $0.58 Median $0.62 Typical High $0.62 | Professional | None | $0.58 | $0.62 | $0.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $7.94 Median $9.12 Typical High $9.77 | Facility | None | $7.94 | $9.12 | $9.77 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | None | $0.83 | $0.83 | $0.83 |
Cigna Setting Facility Modifier None Typical Low $0.83 Median $1.51 Typical High $1.62 | Facility | None | $0.83 | $1.51 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Medica Setting Facility Modifier None Typical Low $0.48 Median $7.94 Typical High $7.94 | Facility | None | $0.48 | $7.94 | $7.94 |
Medica Setting Professional Modifier None Typical Low $0.43 Median $0.48 Typical High $1.20 | Professional | None | $0.43 | $0.48 | $1.20 |
United Setting Professional Modifier None Typical Low $0.55 Median $0.65 Typical High $0.72 | Professional | None | $0.55 | $0.65 | $0.72 |
2 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 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Where Oklahoma sits
The same service costs 1.9 times more in Wyoming than in Oklahoma. 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· 51st of 51
$0.55
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.