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 $1,348.96 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $1,230.27 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,659.59 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,168.69 Typical High $4,897.79 | Facility | None | $630.96 | $4,168.69 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,513.56 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $9,332.54 | Facility | None | $1,348.96 | $1,862.09 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $9,549.93 | Professional | None | $1,122.02 | $1,513.56 | $9,549.93 |
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 $1,071.52 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,348.96 | $1,905.46 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Oklahoma sits
The same service costs 17.8 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· 25th of 51
$1,738
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.