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 $501.19 Median $2,511.89 Typical High $7,585.78 | Facility | None | $501.19 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $295.12 | Professional | None | $208.93 | $288.40 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $4,897.79 | Facility | None | $1,949.84 | $3,162.28 | $4,897.79 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $389.05 | Professional | None | $199.53 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $229.09 | Facility | None | $66.07 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $354.81 | Professional | None | $190.55 | $295.12 | $354.81 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $2,754.23 | Facility | None | $269.15 | $416.87 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $1,548.82 Typical High $2,187.76 | Professional | None | $263.03 | $1,548.82 | $2,187.76 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $363.08 | Professional | None | $186.21 | $257.04 | $363.08 |
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 $104.71 Median $104.71 Typical High $147.91 | Professional | 52 · Reduced service | $104.71 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $41.69 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $158.49 Typical High $223.87 | Professional | 54 · Surgery only | $154.88 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $31.62 Typical High $44.67 | Professional | 55 · Aftercare only | $30.90 | $31.62 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $147.91 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $144.54 | $147.91 | $208.93 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 15th of 51
$355
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.