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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $7.59 | Professional | None | $6.03 | $7.41 | $7.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $1.70 Typical High $3.09 | Facility | None | $1.58 | $1.70 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Medica Setting Facility Modifier None Typical Low $4.37 Median $7.59 Typical High $89.13 | Facility | None | $4.37 | $7.59 | $89.13 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $18.62 | Professional | None | $8.32 | $10.47 | $18.62 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $18.62 | Professional | None | $8.32 | $10.47 | $18.62 |
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 LR · Lab round trip Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | LR · Lab round trip | $5.13 | $5.13 | $5.13 |
Where Oklahoma sits
The same service costs 25.1 times more in Wyoming than in New Jersey. 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· 31st of 51
$8.51
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.