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 $3,801.89 Typical High $12,589.25 | Facility | None | $1,000.00 | $3,801.89 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $977.24 | Professional | None | $812.83 | $977.24 | $977.24 |
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 $776.25 Median $1,071.52 Typical High $1,288.25 | Professional | None | $776.25 | $1,071.52 | $1,288.25 |
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 $870.96 Median $1,023.29 Typical High $1,288.25 | Professional | None | $870.96 | $1,023.29 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,380.38 Typical High $4,365.16 | Facility | None | $562.34 | $1,380.38 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $6,025.60 Typical High $7,413.10 | Professional | None | $891.25 | $6,025.60 | $7,413.10 |
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 $724.44 Median $954.99 Typical High $1,288.25 | Professional | None | $724.44 | $954.99 | $1,288.25 |
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 $407.38 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | 53 · Discontinued | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $741.31 | Professional | 54 · Surgery only | $602.56 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $123.03 Typical High $147.91 | Professional | 55 · Aftercare only | $120.23 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $691.83 |
Where Oklahoma sits
The same service costs 4.5 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· 19th of 51
$1,175
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.