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 $380.19 Median $407.38 Typical High $489.78 | Professional | None | $380.19 | $407.38 | $489.78 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,265.80 Median $6,918.31 Typical High $10,964.78 | Facility | None | $4,265.80 | $6,918.31 | $10,964.78 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $630.96 | Professional | None | $354.81 | $478.63 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $1,995.26 | Facility | None | $512.86 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $630.96 | Professional | None | $426.58 | $512.86 | $630.96 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $6,025.60 | Facility | None | $512.86 | $724.44 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $3,090.30 Typical High $3,467.37 | Professional | None | $436.52 | $3,090.30 | $3,467.37 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $616.60 | Professional | None | $338.84 | $446.68 | $616.60 |
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 $190.55 Median $190.55 Typical High $245.47 | Professional | 52 · Reduced service | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | 53 · Discontinued | $75.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $288.40 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $338.84 |
Where Oklahoma sits
The same service costs 6.0 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
$575
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.