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 $1,288.25 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,288.25 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $2,951.21 | Professional | None | $1,995.26 | $2,630.27 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $1,479.11 | Facility | None | $630.96 | $1,230.27 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,290.87 | $2,454.71 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $14,454.40 | Facility | None | $1,862.09 | $3,019.95 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $19,054.61 | Professional | None | $1,819.70 | $2,570.40 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $7,079.46 Typical High $14,454.40 | Facility | None | $1,862.09 | $7,079.46 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,737.80 | $2,238.72 | $3,162.28 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Where Oklahoma sits
The same service costs 19.5 times more in Alaska than in Texas. 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· 35th of 51
$2,455
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.