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 $8.91 Median $13.18 Typical High $30.90 | Facility | None | $8.91 | $13.18 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | None | $8.32 | $8.91 | $8.91 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $34.67 | Facility | None | $13.49 | $21.88 | $34.67 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $21.38 Typical High $22.91 | Facility | None | $12.30 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $19.05 Typical High $30.90 | Facility | None | $9.77 | $19.05 | $30.90 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $16.60 | Professional | None | $8.71 | $10.23 | $16.60 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $9.77 | Professional | None | $7.41 | $8.71 | $9.77 |
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 $4.17 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $4.17 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $1.66 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.23 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.83 | $0.87 | $0.87 |
Where Oklahoma sits
The same service costs 1.9 times more in Wyoming than in Georgia. 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· 13th of 51
$9.33
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.