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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $24,547.09 | Facility | None | $9,332.54 | $15,488.17 | $24,547.09 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,318.26 | Professional | None | $870.96 | $1,174.90 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,413.10 Typical High $8,511.38 | Facility | None | $630.96 | $7,413.10 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,380.38 | Professional | None | $977.24 | $1,096.48 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,230.27 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $7,244.36 | Professional | None | $812.83 | $1,148.15 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,412.54 | Professional | None | $758.58 | $977.24 | $1,412.54 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Where Oklahoma sits
The same service costs 7.9 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· 34th of 51
$1,202
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.