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 $1,000.00 Median $1,621.81 Typical High $12,589.25 | Facility | None | $1,000.00 | $1,621.81 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,096.48 | Professional | None | $758.58 | $912.01 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,148.15 | Professional | None | $812.83 | $812.83 | $1,148.15 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $288.40 Median $7,762.47 Typical High $13,489.63 | Facility | None | $288.40 | $7,762.47 | $13,489.63 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,202.26 | Professional | None | $758.58 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $1,513.56 | Facility | None | $630.96 | $1,258.93 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,202.26 | Professional | None | $812.83 | $954.99 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,288.25 Typical High $4,365.16 | Facility | None | $562.34 | $1,288.25 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $5,623.41 Typical High $6,918.31 | Professional | None | $831.76 | $5,623.41 | $6,918.31 |
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 $660.69 Median $891.25 Typical High $1,202.26 | Professional | None | $660.69 | $891.25 | $1,202.26 |
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 $380.19 Median $380.19 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $575.44 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $537.03 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $537.03 | $645.65 |
Where Oklahoma sits
The same service costs 4.4 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· 18th of 51
$1,096
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.