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 $954.99 Median $3,890.45 Typical High $12,589.25 | Facility | None | $954.99 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $954.99 | Professional | None | $645.65 | $776.25 | $954.99 |
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 $630.96 Median $851.14 Typical High $1,047.13 | Professional | None | $630.96 | $851.14 | $1,047.13 |
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 $691.83 Median $812.83 Typical High $954.99 | Professional | None | $691.83 | $812.83 | $954.99 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $4,365.16 | Facility | None | $562.34 | $1,122.02 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $4,786.30 Typical High $5,888.44 | Professional | None | $707.95 | $4,786.30 | $5,888.44 |
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 $575.44 Median $741.31 Typical High $1,023.29 | Professional | None | $575.44 | $741.31 | $1,023.29 |
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 $323.59 Median $323.59 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | 54 · Surgery only | $489.78 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $66.07 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $549.54 |
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· 21st of 51
$933
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.