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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $234.42 | Professional | None | $151.36 | $229.09 | $234.42 |
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 $144.54 Median $223.87 Typical High $302.00 | Professional | None | $144.54 | $223.87 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $467.74 | Facility | None | $151.36 | $177.83 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $269.15 | Professional | None | $162.18 | $234.42 | $269.15 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $1,174.90 | Facility | None | $95.50 | $316.23 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $1,148.15 Typical High $1,778.28 | Professional | None | $204.17 | $1,148.15 | $1,778.28 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $281.84 | Professional | None | $138.04 | $199.53 | $281.84 |
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 $75.86 Median $75.86 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $75.86 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $177.83 | Professional | 54 · Surgery only | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.14 | $15.49 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $107.15 | $107.15 | $165.96 |
Where Oklahoma sits
The same service costs 3.5 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· 17th of 51
$269
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.