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 $114.82 Median $3,890.45 Typical High $18,620.87 | Facility | None | $114.82 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $114.82 | Professional | None | $45.71 | $56.23 | $114.82 |
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 $45.71 Median $109.65 Typical High $151.36 | Professional | None | $45.71 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $125.89 | Facility | None | $66.07 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $123.03 | Professional | None | $51.29 | $79.43 | $123.03 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $151.36 Typical High $1,174.90 | Facility | None | $64.57 | $151.36 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $436.52 Typical High $851.14 | Professional | None | $89.13 | $436.52 | $851.14 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $39.81 Median $74.13 Typical High $131.83 | Professional | None | $39.81 | $74.13 | $131.83 |
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 $22.91 Median $22.91 Typical High $57.54 | Professional | 52 · Reduced service | $22.91 | $22.91 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $23.44 | Professional | 53 · Discontinued | $9.12 | $9.33 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $34.67 Typical High $87.10 | Professional | 54 · Surgery only | $34.67 | $34.67 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $17.38 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $11.48 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $11.48 |
Where Oklahoma sits
The same service costs 3.5 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· 10th of 51
$123
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.