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 $707.95 Median $3,890.45 Typical High $18,620.87 | Facility | None | $707.95 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $707.95 | Professional | None | $512.86 | $707.95 | $707.95 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,760.83 Median $11,220.18 Typical High $17,378.01 | Facility | None | $6,760.83 | $11,220.18 | $17,378.01 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $891.25 | Professional | None | $588.84 | $645.65 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $1,122.02 | Facility | None | $131.83 | $158.49 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $933.25 | Professional | None | $588.84 | $794.33 | $933.25 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $870.96 Typical High $1,548.82 | Facility | None | $95.50 | $870.96 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $3,630.78 Typical High $5,128.61 | Professional | None | $630.96 | $3,630.78 | $5,128.61 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $870.96 | Professional | None | $446.68 | $645.65 | $870.96 |
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 $257.04 Median $257.04 Typical High $354.81 | Professional | 52 · Reduced service | $257.04 | $257.04 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | 54 · Surgery only | $380.19 | $380.19 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $489.78 |
Where Oklahoma sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 22nd of 51
$794
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.