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 $93.33 Median $147.91 Typical High $147.91 | Professional | None | $93.33 | $147.91 | $147.91 |
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 $93.33 Median $141.25 Typical High $194.98 | Professional | None | $93.33 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $125.89 | Facility | None | $66.07 | $109.65 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $165.96 | Professional | None | $104.71 | $147.91 | $165.96 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $1,174.90 | Facility | None | $89.13 | $199.53 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $707.95 Typical High $1,122.02 | Professional | None | $131.83 | $707.95 | $1,122.02 |
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 $83.18 Median $125.89 Typical High $177.83 | Professional | None | $83.18 | $125.89 | $177.83 |
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 $46.77 Median $46.77 Typical High $74.13 | Professional | 52 · Reduced service | $46.77 | $46.77 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $70.79 Typical High $109.65 | Professional | 54 · Surgery only | $69.18 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $22.39 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $14.79 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $14.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $66.07 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $64.57 | $66.07 | $102.33 |
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
$166
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.