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 $478.63 Median $3,890.45 Typical High $18,620.87 | Facility | None | $478.63 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $478.63 | Professional | None | $363.08 | $467.74 | $478.63 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,238.72 | Facility | None | $870.96 | $1,445.44 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $501.19 | Facility | None | $323.59 | $380.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $724.44 | Professional | None | $389.05 | $537.03 | $724.44 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $2,398.83 | Facility | None | $316.23 | $676.08 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $2,754.23 Typical High $3,630.78 | Professional | None | $478.63 | $2,754.23 | $3,630.78 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,288.25 Typical High $2,511.89 | Facility | None | $269.15 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $691.83 | Professional | None | $346.74 | $478.63 | $691.83 |
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 $181.97 Median $181.97 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $275.42 Typical High $363.08 | Professional | 54 · Surgery only | $269.15 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $72.44 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $257.04 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $338.84 |
Where Oklahoma sits
The same service costs 5.1 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· 10th of 51
$708
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.