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 $1,096.48 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,096.48 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $1,023.29 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,380.38 | $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 $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,202.26 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,621.81 Typical High $6,025.60 | Facility | None | $933.25 | $1,621.81 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $7,585.78 | Professional | None | $954.99 | $1,348.96 | $7,585.78 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,951.21 Typical High $6,309.57 | Facility | None | $954.99 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,584.89 | Professional | None | $912.01 | $1,148.15 | $1,584.89 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Where Oklahoma sits
The same service costs 7.9 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
$1,413
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.