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 $61.66 Median $1,000.00 Typical High $6,456.54 | Facility | None | $61.66 | $1,000.00 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $67.61 | Professional | None | $47.86 | $66.07 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $79.43 | Professional | None | $32.36 | $60.26 | $79.43 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $194.98 Median $1,122.02 Typical High $1,905.46 | Facility | None | $194.98 | $1,122.02 | $1,905.46 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $83.18 | Professional | None | $43.65 | $60.26 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $467.74 | Facility | None | $39.81 | $47.86 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $81.28 | Professional | None | $53.70 | $75.86 | $81.28 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $1,659.59 | Facility | None | $64.57 | $89.13 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $478.63 | Professional | None | $57.54 | $114.82 | $478.63 |
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 $40.74 Median $54.95 Typical High $83.18 | Professional | None | $40.74 | $54.95 | $83.18 |
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 $23.99 Median $23.99 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | 53 · Discontinued | $9.55 | $9.55 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 54 · Surgery only | $35.48 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $10.23 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $6.76 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $95.50 Typical High $134.90 | Professional | 50 · Both sides | $66.07 | $95.50 | $134.90 |
Where Oklahoma sits
The same service costs 4.2 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· 29th of 51
$70.79
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.