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 $154.88 Median $1,778.28 Typical High $6,760.83 | Facility | None | $154.88 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $190.55 | Professional | None | $107.15 | $154.88 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | None | $112.20 | $112.20 | $138.04 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $478.63 Median $2,754.23 Typical High $4,786.30 | Facility | None | $478.63 | $2,754.23 | $4,786.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $208.93 | Professional | None | $107.15 | $151.36 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $467.74 | Facility | None | $109.65 | $131.83 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $181.97 | Professional | None | $114.82 | $151.36 | $181.97 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $2,630.27 | Facility | None | $154.88 | $218.78 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $812.83 Typical High $1,202.26 | Professional | None | $138.04 | $812.83 | $1,202.26 |
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 $95.50 Median $134.90 Typical High $186.21 | Professional | None | $95.50 | $134.90 | $186.21 |
6 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 $53.70 Median $54.95 Typical High $79.43 | Professional | 52 · Reduced service | $53.70 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $21.88 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | 54 · Surgery only | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $15.85 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $75.86 | $75.86 | $112.20 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 16th of 51
$191
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.