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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,995.26 | $3,090.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $363.08 | Professional | None | $245.47 | $331.13 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $467.74 | Facility | None | $138.04 | $169.82 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $346.74 | Professional | None | $257.04 | $316.23 | $346.74 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $363.08 Typical High $1,548.82 | Facility | None | $95.50 | $363.08 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $1,995.26 Typical High $2,089.30 | Professional | None | $234.42 | $1,995.26 | $2,089.30 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $389.05 | Professional | None | $213.80 | $269.15 | $389.05 |
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 $134.90 Median $134.90 Typical High $141.25 | Professional | 52 · Reduced service | $134.90 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 54 · Surgery only | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $199.53 |
Where Oklahoma sits
The same service costs 5.9 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· 28th of 51
$331
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.