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 $87.10 Median $2,951.21 Typical High $18,620.87 | Facility | None | $87.10 | $2,951.21 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $154.88 | Professional | None | $74.13 | $123.03 | $154.88 |
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 $72.44 Median $151.36 Typical High $204.17 | Professional | None | $72.44 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $131.83 | Facility | None | $66.07 | $117.49 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $169.82 | Professional | None | $85.11 | $120.23 | $169.82 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $177.83 Typical High $1,174.90 | Facility | None | $85.11 | $177.83 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $588.84 Typical High $1,148.15 | Professional | None | $128.82 | $588.84 | $1,148.15 |
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 $66.07 Median $114.82 Typical High $177.83 | Professional | None | $66.07 | $114.82 | $177.83 |
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 $37.15 Median $37.15 Typical High $77.62 | Professional | 52 · Reduced service | $37.15 | $37.15 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $30.90 | Professional | 53 · Discontinued | $14.79 | $14.79 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $56.23 Typical High $117.49 | Professional | 54 · Surgery only | $54.95 | $56.23 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $23.44 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $15.49 |
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
$170
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.