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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $295.12 Typical High $2,570.40 | Professional | None | $93.33 | $295.12 | $2,570.40 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,995.26 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $724.44 | Facility | None | $288.40 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $263.03 Typical High $416.87 | Professional | None | $107.15 | $263.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $478.63 Typical High $2,398.83 | Facility | None | $120.23 | $478.63 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $1,071.52 Typical High $2,238.72 | Professional | None | $295.12 | $1,071.52 | $2,238.72 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $2,454.71 | Facility | None | $269.15 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $436.52 | Professional | None | $91.20 | $208.93 | $436.52 |
5 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 $46.77 Median $46.77 Typical High $147.91 | Professional | 52 · Reduced service | $46.77 | $46.77 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $60.26 | Professional | 53 · Discontinued | $18.62 | $18.62 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $70.79 Typical High $223.87 | Professional | 54 · Surgery only | $69.18 | $70.79 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.13 Typical High $44.67 | Professional | 55 · Aftercare only | $13.80 | $14.13 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $30.20 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $30.20 |
Where Oklahoma sits
The same service costs 4.3 times more in Oklahoma than in Nebraska. 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· 1st of 51
$724
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.