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 $295.12 Median $295.12 Typical High $323.59 | Professional | None | $295.12 | $295.12 | $323.59 |
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 $275.42 Median $363.08 Typical High $426.58 | Professional | None | $275.42 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $169.82 | Facility | None | $66.07 | $151.36 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $398.11 | Professional | None | $288.40 | $354.81 | $398.11 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $398.11 Typical High $1,380.38 | Facility | None | $95.50 | $398.11 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $2,187.76 Typical High $2,344.23 | Professional | None | $269.15 | $2,187.76 | $2,344.23 |
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 $234.42 Median $295.12 Typical High $426.58 | Professional | None | $234.42 | $295.12 | $426.58 |
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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 54 · Surgery only | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $208.93 | $208.93 | $223.87 |
Where Oklahoma sits
The same service costs 5.8 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
$372
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.