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 $120.23 Median $1,000.00 Typical High $6,606.93 | Facility | None | $120.23 | $1,000.00 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | None | $85.11 | $109.65 | $109.65 |
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 $85.11 Median $104.71 Typical High $134.90 | Professional | None | $85.11 | $104.71 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $75.86 Typical High $467.74 | Facility | None | $63.10 | $75.86 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $144.54 | Professional | None | $95.50 | $120.23 | $144.54 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $169.82 Typical High $1,174.90 | Facility | None | $85.11 | $169.82 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $616.60 Typical High $1,023.29 | Professional | None | $93.33 | $616.60 | $1,023.29 |
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 $69.18 Median $93.33 Typical High $138.04 | Professional | None | $69.18 | $93.33 | $138.04 |
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 $42.66 Median $42.66 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 54 · Surgery only | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $10.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $60.26 | $60.26 | $75.86 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 31st of 51
$123
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.