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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None | $309.03 | $309.03 | $389.05 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,187.76 | Facility | None | $1,174.90 | $1,548.82 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,202.26 | Facility | None | $630.96 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $4,265.80 | Facility | None | $323.59 | $1,148.15 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $2,884.03 | Professional | None | $338.84 | $588.84 | $2,884.03 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $616.60 | Professional | None | $323.59 | $407.38 | $616.60 |
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 $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $38.02 |
Where Oklahoma sits
The same service costs 7.1 times more in Alaska 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· 21st of 51
$479
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.