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 $269.15 Median $389.05 Typical High $389.05 | Professional | None | $269.15 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $8,709.64 | Facility | None | $3,467.37 | $5,623.41 | $8,709.64 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $478.63 | Professional | None | $302.00 | $416.87 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $309.03 Typical High $380.19 | Facility | None | $66.07 | $309.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $436.52 | Professional | None | $309.03 | $346.74 | $436.52 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $2,398.83 | Facility | None | $269.15 | $478.63 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $660.69 Typical High $2,754.23 | Professional | None | $316.23 | $660.69 | $2,754.23 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $446.68 | Professional | None | $218.78 | $309.03 | $446.68 |
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 $134.90 Median $134.90 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | 54 · Surgery only | $199.53 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $186.21 | $186.21 | $269.15 |
Where Oklahoma sits
The same service costs 4.5 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· 23rd of 51
$407
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.