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 $1,412.54 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,412.54 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,549.93 Median $15,848.93 Typical High $24,547.09 | Facility | None | $9,549.93 | $15,848.93 | $24,547.09 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,621.81 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,311.31 Typical High $3,801.89 | Facility | None | $630.96 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,584.89 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $9,332.54 | Facility | None | $1,412.54 | $1,995.26 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $12,589.25 | Professional | None | $1,174.90 | $1,659.59 | $12,589.25 |
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 $1,122.02 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,380.38 | $1,995.26 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Where Oklahoma sits
The same service costs 15.1 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· 27th of 51
$1,778
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.