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 $1,288.25 Median $4,073.80 Typical High $16,218.10 | Facility | None | $1,288.25 | $4,073.80 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,772.37 Median $15,848.93 Typical High $25,118.86 | Facility | None | $9,772.37 | $15,848.93 | $25,118.86 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $12,589.25 Typical High $14,791.08 | Facility | None | $630.96 | $12,589.25 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,754.23 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $20,417.38 | Facility | None | $2,630.27 | $4,168.69 | $20,417.38 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $16,218.10 | Professional | None | $1,995.26 | $2,511.89 | $16,218.10 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $10,964.78 Typical High $21,877.62 | Facility | None | $3,235.94 | $10,964.78 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,344.23 | $3,388.44 |
2 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 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,698.24 |
Where Oklahoma sits
The same service costs 8.1 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· 25th of 51
$3,020
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.