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 $60.26 Median $77.62 Typical High $85.11 | Professional | None | $60.26 | $77.62 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None | $81.28 | $81.28 | $95.50 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $1,122.02 Typical High $1,905.46 | Facility | None | $190.55 | $1,122.02 | $1,905.46 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $104.71 | Professional | None | $54.95 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $467.74 | Facility | None | $53.70 | $64.57 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $97.72 | Professional | None | $67.61 | $81.28 | $97.72 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $1,479.11 | Facility | None | $75.86 | $104.71 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $416.87 Typical High $616.60 | Professional | None | $69.18 | $416.87 | $616.60 |
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 $50.12 Median $69.18 Typical High $97.72 | Professional | None | $50.12 | $69.18 | $97.72 |
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 $30.20 Median $30.20 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | 54 · Surgery only | $45.71 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $8.51 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 32nd of 51
$85.11
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.