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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | None | $67.61 | $72.44 | $72.44 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $323.59 | Facility | None | $125.89 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $169.82 | Facility | None | $100.00 | $158.49 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $331.13 Typical High $331.13 | Facility | None | $104.71 | $331.13 | $331.13 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | None | $104.71 | $109.65 | $128.82 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $97.72 | Professional | None | $79.43 | $85.11 | $97.72 |
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 JZ · No drug discarded Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | JZ · No drug discarded | $67.61 | $67.61 | $67.61 |
Where Oklahoma sits
The same service costs 2.7 times more in South Carolina 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· 3rd of 51
$162
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.