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 $870.96 Median $3,090.30 Typical High $8,317.64 | Facility | None | $870.96 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $870.96 | Professional | None | $707.95 | $851.14 | $870.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,165.95 Median $10,232.93 Typical High $15,848.93 | Facility | None | $6,165.95 | $10,232.93 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,380.38 Typical High $1,659.59 | Facility | None | $630.96 | $1,380.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $977.24 | Professional | None | $691.83 | $812.83 | $977.24 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $3,981.07 | Facility | None | $512.86 | $1,047.13 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $5,248.07 Typical High $6,456.54 | Professional | None | $758.58 | $5,248.07 | $6,456.54 |
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 $616.60 Median $776.25 Typical High $1,122.02 | Professional | None | $616.60 | $776.25 | $1,122.02 |
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 $354.81 Median $363.08 Typical High $436.52 | Professional | 52 · Reduced service | $354.81 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | 54 · Surgery only | $537.03 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $72.44 Typical High $87.10 | Professional | 56 · Pre-op care only | $70.79 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $602.56 |
Where Oklahoma sits
The same service costs 4.9 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· 12th of 51
$1,230
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.