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 $141.25 Median $1,513.56 Typical High $6,760.83 | Facility | None | $141.25 | $1,513.56 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $162.18 | Professional | None | $95.50 | $141.25 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $245.47 Median $5,623.41 Typical High $9,772.37 | Facility | None | $245.47 | $5,623.41 | $9,772.37 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $208.93 | Professional | None | $95.50 | $151.36 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $724.44 | Facility | None | $97.72 | $114.82 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $177.83 | Professional | None | $107.15 | $144.54 | $177.83 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $4,073.80 | Facility | None | $138.04 | $218.78 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $3,162.28 Typical High $3,630.78 | Professional | None | $141.25 | $3,162.28 | $3,630.78 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,905.46 Typical High $3,630.78 | Facility | None | $467.74 | $1,905.46 | $3,630.78 |
United Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $218.78 | Professional | None | $85.11 | $138.04 | $218.78 |
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 $47.86 Median $47.86 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $19.05 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $72.44 Typical High $120.23 | Professional | 54 · Surgery only | $70.79 | $72.44 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.45 Typical High $23.99 | Professional | 55 · Aftercare only | $14.13 | $14.45 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $16.22 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 14th of 51
$191
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.