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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $275.42 | Professional | None | $181.97 | $275.42 | $275.42 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $10,232.93 | Facility | None | $3,981.07 | $6,606.93 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $239.88 | Facility | None | $66.07 | $208.93 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $338.84 | Professional | None | $199.53 | $269.15 | $338.84 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $3,890.45 | Facility | None | $251.19 | $389.05 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $1,412.54 Typical High $2,137.96 | Professional | None | $257.04 | $1,412.54 | $2,137.96 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $346.74 | Professional | None | $169.82 | $245.47 | $346.74 |
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 $91.20 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $91.20 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | 54 · Surgery only | $138.04 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $27.54 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $128.82 | $128.82 | $194.98 |
Where Oklahoma sits
The same service costs 3.5 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· 7th of 51
$457
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.