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 $85.11 Median $109.65 Typical High $138.04 | Professional | None | $85.11 | $109.65 | $138.04 |
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 $85.11 Median $131.83 Typical High $181.97 | Professional | None | $85.11 | $131.83 | $181.97 |
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 $93.33 Median $138.04 Typical High $169.82 | Professional | None | $93.33 | $138.04 | $169.82 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $186.21 Typical High $1,174.90 | Facility | None | $85.11 | $186.21 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $645.65 Typical High $1,047.13 | Professional | None | $123.03 | $645.65 | $1,047.13 |
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 $75.86 Median $117.49 Typical High $165.96 | Professional | None | $75.86 | $117.49 | $165.96 |
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 $42.66 Median $42.66 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $16.98 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $64.57 Typical High $104.71 | Professional | 54 · Surgery only | $63.10 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $20.89 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $13.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $60.26 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $58.88 | $60.26 | $97.72 |
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· 20th of 51
$155
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.