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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $42.66 | Professional | None | $23.44 | $41.69 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $50.12 | Professional | None | $20.89 | $20.89 | $50.12 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $489.78 | Facility | None | $194.98 | $316.23 | $489.78 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $57.54 | Professional | None | $25.12 | $42.66 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $50.12 | Professional | None | $27.54 | $41.69 | $50.12 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $1,174.90 | Facility | None | $35.48 | $61.66 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $177.83 Typical High $338.84 | Professional | None | $39.81 | $177.83 | $338.84 |
United Setting Facility Modifier None Typical Low $85.11 Median $575.44 Typical High $1,380.38 | Facility | None | $85.11 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $53.70 | Professional | None | $21.88 | $37.15 | $53.70 |
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 $11.75 Median $11.75 Typical High $20.89 | Professional | 52 · Reduced service | $11.75 | $11.75 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $8.51 | Professional | 53 · Discontinued | $4.68 | $4.68 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $17.78 Typical High $31.62 | Professional | 54 · Surgery only | $17.78 | $17.78 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $6.31 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $4.17 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$52.48
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.