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 $602.56 Median $741.31 Typical High $758.58 | Professional | None | $602.56 | $741.31 | $758.58 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $288.40 Median $5,623.41 Typical High $9,772.37 | Facility | None | $288.40 | $5,623.41 | $9,772.37 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,000.00 | Professional | None | $588.84 | $794.33 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $1,513.56 | Facility | None | $512.86 | $1,258.93 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $891.25 | Professional | None | $630.96 | $758.58 | $891.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $4,265.80 | Facility | None | $562.34 | $1,071.52 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $4,570.88 Typical High $5,754.40 | Professional | None | $676.08 | $4,570.88 | $5,754.40 |
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 $537.03 Median $691.83 Typical High $954.99 | Professional | None | $537.03 | $691.83 | $954.99 |
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 $302.00 Median $302.00 Typical High $380.19 | Professional | 52 · Reduced service | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | 53 · Discontinued | $120.23 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $457.09 Typical High $575.44 | Professional | 54 · Surgery only | $446.68 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $426.58 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $416.87 | $426.58 | $537.03 |
Where Oklahoma sits
The same service costs 4.2 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· 16th of 51
$912
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.