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 $151.36 Median $3,890.45 Typical High $18,620.87 | Facility | None | $151.36 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $151.36 | Professional | None | $70.79 | $120.23 | $151.36 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,412.54 | Facility | None | $549.54 | $912.01 | $1,412.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $199.53 | Professional | None | $70.79 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $165.96 | Professional | None | $81.28 | $123.03 | $165.96 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $186.21 Typical High $1,174.90 | Facility | None | $85.11 | $186.21 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $575.44 Typical High $1,122.02 | Professional | None | $125.89 | $575.44 | $1,122.02 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $173.78 | Professional | None | $63.10 | $112.20 | $173.78 |
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 $35.48 Median $35.48 Typical High $75.86 | Professional | 52 · Reduced service | $35.48 | $35.48 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $14.45 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $114.82 | Professional | 54 · Surgery only | $53.70 | $53.70 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $22.91 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $15.14 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 11th of 51
$166
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.