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 $501.19 Median $2,511.89 Typical High $7,585.78 | Facility | None | $501.19 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $102.33 | Professional | None | $63.10 | $89.13 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | None | $81.28 | $95.50 | $134.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $269.15 Median $1,122.02 Typical High $1,905.46 | Facility | None | $269.15 | $1,122.02 | $1,905.46 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $58.88 Median $93.33 Typical High $128.82 | Professional | None | $58.88 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $724.44 | Facility | None | $66.07 | $77.62 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $117.49 | Professional | None | $70.79 | $102.33 | $117.49 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $1,659.59 | Facility | None | $63.10 | $162.18 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $741.31 | Professional | None | $83.18 | $158.49 | $741.31 |
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 $52.48 Median $81.28 Typical High $120.23 | Professional | None | $52.48 | $81.28 | $120.23 |
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 $31.62 Median $31.62 Typical High $51.29 | Professional | 52 · Reduced service | $31.62 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $20.89 | Professional | 53 · Discontinued | $12.59 | $12.59 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | 54 · Surgery only | $46.77 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $10.23 |
Where Oklahoma sits
The same service costs 3.7 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· 28th of 51
$102
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.