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 $43.65 Median $51.29 Typical High $66.07 | Professional | None | $43.65 | $51.29 | $66.07 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $190.55 Median $6,025.60 Typical High $10,232.93 | Facility | None | $190.55 | $6,025.60 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $81.28 | Professional | None | $39.81 | $60.26 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $467.74 | Facility | None | $43.65 | $52.48 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $75.86 | Professional | None | $48.98 | $66.07 | $75.86 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $1,174.90 | Facility | None | $57.54 | $83.18 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $302.00 Typical High $588.84 | Professional | None | $53.70 | $302.00 | $588.84 |
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 $36.31 Median $51.29 Typical High $72.44 | Professional | None | $36.31 | $51.29 | $72.44 |
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 $21.88 Median $21.88 Typical High $33.11 | Professional | 52 · Reduced service | $21.88 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $13.18 | Professional | 53 · Discontinued | $8.71 | $8.71 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | 54 · Surgery only | $32.36 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $10.00 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $6.61 |
Where Oklahoma sits
The same service costs 3.5 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· 27th of 51
$69.18
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.