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 $138.04 Median $3,890.45 Typical High $18,620.87 | Facility | None | $138.04 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $138.04 | Professional | None | $63.10 | $89.13 | $138.04 |
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 $63.10 Median $131.83 Typical High $181.97 | Professional | None | $63.10 | $131.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $125.89 | Facility | None | $66.07 | $104.71 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $147.91 | Professional | None | $70.79 | $102.33 | $147.91 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $1,174.90 | Facility | None | $75.86 | $151.36 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $512.86 Typical High $1,023.29 | Professional | None | $107.15 | $512.86 | $1,023.29 |
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 $56.23 Median $95.50 Typical High $154.88 | Professional | None | $56.23 | $95.50 | $154.88 |
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 $31.62 Median $31.62 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $31.62 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $27.54 | Professional | 53 · Discontinued | $12.59 | $12.59 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $47.86 Typical High $102.33 | Professional | 54 · Surgery only | $46.77 | $47.86 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.55 Typical High $20.42 | Professional | 55 · Aftercare only | $9.33 | $9.55 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $13.80 |
Where Oklahoma sits
The same service costs 3.2 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
$148
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.