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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $776.25 | Professional | None | $478.63 | $676.08 | $776.25 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $977.24 | Professional | None | $436.52 | $602.56 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,311.31 Typical High $3,801.89 | Facility | None | $512.86 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $812.83 | Professional | None | $436.52 | $549.54 | $812.83 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $4,265.80 | Facility | None | $467.74 | $776.25 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $4,897.79 Typical High $5,495.41 | Professional | None | $575.44 | $4,897.79 | $5,495.41 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,265.80 | Facility | None | $467.74 | $2,187.76 | $4,265.80 |
United Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $812.83 | Professional | None | $346.74 | $562.34 | $812.83 |
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 $239.88 Median $239.88 Typical High $389.05 | Professional | 52 · Reduced service | $239.88 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $575.44 | Professional | 54 · Surgery only | $363.08 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $537.03 |
Where Oklahoma sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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· 21st of 51
$759
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.