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 $25.12 Median $31.62 Typical High $53.70 | Facility | None | $25.12 | $31.62 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | None | $25.12 | $26.92 | $26.92 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $81.28 | Facility | None | $31.62 | $52.48 | $81.28 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $70.79 | Facility | None | $37.15 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $33.88 | Facility | None | $22.39 | $26.92 | $33.88 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $25.70 | Professional | None | $18.62 | $22.39 | $25.70 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $20.89 | Professional | None | $14.13 | $16.60 | $20.89 |
5 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 $12.59 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.51 | $2.69 | $2.69 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $16.60 Median $16.60 Typical High $25.12 | Professional | JZ · No drug discarded | $16.60 | $16.60 | $25.12 |
Where Oklahoma sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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· 49th of 51
$22.91
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.