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 $93.33 Median $134.90 Typical High $144.54 | Professional | None | $93.33 | $134.90 | $144.54 |
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 $95.50 Median $138.04 Typical High $190.55 | Professional | None | $95.50 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $467.74 | Facility | None | $81.28 | $97.72 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $158.49 | Professional | None | $104.71 | $151.36 | $158.49 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $2,398.83 | Facility | None | $131.83 | $199.53 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $676.08 Typical High $1,071.52 | Professional | None | $128.82 | $676.08 | $1,071.52 |
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 $83.18 Median $125.89 Typical High $181.97 | Professional | None | $83.18 | $125.89 | $181.97 |
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 $46.77 Median $47.86 Typical High $72.44 | Professional | 52 · Reduced service | $46.77 | $47.86 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $28.84 | Professional | 53 · Discontinued | $19.05 | $19.05 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $109.65 | Professional | 54 · Surgery only | $70.79 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.45 Typical High $21.88 | Professional | 55 · Aftercare only | $14.13 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $14.45 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $14.45 |
Where Oklahoma sits
The same service costs 3.2 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· 11th of 51
$186
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.