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 $53.70 Median $1,445.44 Typical High $6,760.83 | Facility | None | $53.70 | $1,445.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $56.23 | Professional | None | $39.81 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $47.86 | Professional | None | $33.88 | $47.86 | $47.86 |
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 $37.15 Median $51.29 Typical High $70.79 | Professional | None | $37.15 | $51.29 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $467.74 | Facility | None | $28.84 | $34.67 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $64.57 | Professional | None | $43.65 | $54.95 | $64.57 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $1,659.59 | Facility | None | $53.70 | $77.62 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $295.12 Typical High $616.60 | Professional | None | $48.98 | $295.12 | $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 $32.36 Median $45.71 Typical High $67.61 | Professional | None | $32.36 | $45.71 | $67.61 |
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 $19.95 Median $19.95 Typical High $28.18 | Professional | 52 · Reduced service | $19.95 | $19.95 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $11.22 | Professional | 53 · Discontinued | $7.94 | $7.94 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $30.20 Typical High $41.69 | Professional | 54 · Surgery only | $30.20 | $30.20 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $8.32 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $5.62 |
Where Oklahoma sits
The same service costs 4.2 times more in Alaska than in New York. 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· 24th of 51
$60.26
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.