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 $79.43 Median $3,890.45 Typical High $18,620.87 | Facility | None | $79.43 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $79.43 | Professional | None | $51.29 | $77.62 | $79.43 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $1,479.11 | Facility | None | $575.44 | $954.99 | $1,479.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $104.71 | Professional | None | $50.12 | $69.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $100.00 | Facility | None | $52.48 | $64.57 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $91.20 | Professional | None | $54.95 | $75.86 | $91.20 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $1,174.90 | Facility | None | $64.57 | $100.00 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $549.54 Typical High $616.60 | Professional | None | $69.18 | $549.54 | $616.60 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $95.50 | Professional | None | $45.71 | $66.07 | $95.50 |
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 $25.70 Median $26.30 Typical High $39.81 | Professional | 52 · Reduced service | $25.70 | $26.30 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $15.85 | Professional | 53 · Discontinued | $10.47 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | 54 · Surgery only | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $7.94 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska than in New York. 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· 13th of 51
$100
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.