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 $371.54 Median $371.54 Typical High $398.11 | Professional | None | $371.54 | $371.54 | $398.11 |
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 $346.74 Median $457.09 Typical High $524.81 | Professional | None | $346.74 | $457.09 | $524.81 |
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 $363.08 Median $436.52 Typical High $489.78 | Professional | None | $363.08 | $436.52 | $489.78 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $524.81 Typical High $1,698.24 | Facility | None | $112.20 | $524.81 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $2,691.53 Typical High $2,951.21 | Professional | None | $331.13 | $2,691.53 | $2,951.21 |
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 $288.40 Median $363.08 Typical High $524.81 | Professional | None | $288.40 | $363.08 | $524.81 |
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 $181.97 Median $181.97 Typical High $199.53 | Professional | 52 · Reduced service | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 54 · Surgery only | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $281.84 |
Where Oklahoma sits
The same service costs 5.1 times more in Alaska than in Utah. 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
$457
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.