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 $1,000.00 Median $4,897.79 Typical High $14,125.38 | Facility | None | $1,000.00 | $4,897.79 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $851.14 | Professional | None | $645.65 | $707.95 | $851.14 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,659.59 Median $13,489.63 Typical High $23,442.29 | Facility | None | $1,659.59 | $13,489.63 | $23,442.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,047.13 | Professional | None | $575.44 | $776.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,311.31 Typical High $3,801.89 | Facility | None | $870.96 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,000.00 | Professional | None | $707.95 | $831.76 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $9,332.54 | Facility | None | $851.14 | $1,174.90 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $10,000.00 | Professional | None | $691.83 | $912.01 | $10,000.00 |
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 $537.03 Median $707.95 Typical High $1,000.00 | Professional | None | $537.03 | $707.95 | $1,000.00 |
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 $323.59 Median $323.59 Typical High $426.58 | Professional | 52 · Reduced service | $323.59 | $323.59 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $588.84 |
Where Oklahoma sits
The same service costs 6.2 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
$912
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.