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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | None | $109.65 | $138.04 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $199.53 | Professional | None | $123.03 | $190.55 | $199.53 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,412.54 | Facility | None | $549.54 | $912.01 | $1,412.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $229.09 | Professional | None | $109.65 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $194.98 | Professional | None | $123.03 | $173.78 | $194.98 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $234.42 Typical High $1,174.90 | Facility | None | $91.20 | $234.42 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $831.76 Typical High $1,348.96 | Professional | None | $154.88 | $831.76 | $1,348.96 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $213.80 | Professional | None | $97.72 | $147.91 | $213.80 |
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 $54.95 Median $54.95 Typical High $89.13 | Professional | 52 · Reduced service | $54.95 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $83.18 Typical High $131.83 | Professional | 54 · Surgery only | $81.28 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $26.92 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $17.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $77.62 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $75.86 | $77.62 | $123.03 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$195
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.