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 $70.79 Median $154.88 Typical High $2,570.40 | Professional | None | $70.79 | $154.88 | $2,570.40 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,265.80 | Facility | None | $1,659.59 | $2,691.53 | $4,265.80 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $85.11 Median $147.91 Typical High $223.87 | Professional | None | $85.11 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,000.00 | Facility | None | $407.38 | $812.83 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $204.17 | Professional | None | $83.18 | $134.90 | $204.17 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $3,981.07 | Facility | None | $95.50 | $218.78 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $676.08 Typical High $1,096.48 | Professional | None | $138.04 | $676.08 | $1,096.48 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $3,981.07 | Facility | None | $467.74 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $223.87 | Professional | None | $64.57 | $120.23 | $223.87 |
5 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 $35.48 Median $35.48 Typical High $77.62 | Professional | 52 · Reduced service | $35.48 | $35.48 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $30.90 | Professional | 53 · Discontinued | $14.13 | $14.13 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $53.70 Typical High $114.82 | Professional | 54 · Surgery only | $52.48 | $53.70 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $23.44 | Professional | 55 · Aftercare only | $10.47 | $10.72 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $15.49 |
Where Oklahoma sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 3rd of 51
$324
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.