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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $831.76 | Professional | None | $691.83 | $776.25 | $831.76 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,549.93 Median $15,488.17 Typical High $23,988.33 | Facility | None | $9,549.93 | $15,488.17 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,047.13 | Professional | None | $758.58 | $954.99 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,311.31 Typical High $3,801.89 | Facility | None | $512.86 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,122.02 | Professional | None | $794.33 | $933.25 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $9,332.54 | Facility | None | $870.96 | $1,258.93 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $5,011.87 Typical High $5,888.44 | Professional | None | $758.58 | $5,011.87 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,122.02 | Professional | None | $616.60 | $794.33 | $1,122.02 |
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 $346.74 Median $346.74 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $575.44 |
Where Oklahoma sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$1,047
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.