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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $22.39 | Professional | None | $19.95 | $20.89 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $20.42 Median $27.54 Typical High $29.51 | Professional | None | $20.42 | $27.54 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $21.38 Typical High $32.36 | Facility | None | $20.89 | $21.38 | $32.36 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $28.84 Typical High $147.91 | Professional | None | $16.60 | $28.84 | $147.91 |
United Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $42.66 | Professional | None | $17.78 | $23.99 | $42.66 |
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 $10.00 Median $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $10.00 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.16 Typical High $3.39 | Professional | 55 · Aftercare only | $3.02 | $3.16 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.09 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.04 | $2.09 | $2.24 |
Where Oklahoma sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 30th of 51
$24.55
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.