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 $1,445.44 Typical High $6,606.93 | Facility | None | $120.23 | $1,445.44 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $169.82 | Professional | None | $87.10 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $204.17 | Professional | None | $154.88 | $162.18 | $204.17 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $295.12 Median $1,122.02 Typical High $1,905.46 | Facility | None | $295.12 | $1,122.02 | $1,905.46 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $85.11 Median $154.88 Typical High $213.80 | Professional | None | $85.11 | $154.88 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | None | $100.00 | $141.25 | $208.93 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $229.09 Typical High $1,659.59 | Facility | None | $91.20 | $229.09 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $676.08 Typical High $2,238.72 | Professional | None | $151.36 | $676.08 | $2,238.72 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $213.80 | Professional | None | $69.18 | $128.82 | $213.80 |
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 $43.65 Median $43.65 Typical High $85.11 | Professional | 52 · Reduced service | $43.65 | $43.65 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $33.88 | Professional | 53 · Discontinued | $17.38 | $17.38 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $64.57 Typical High $125.89 | Professional | 54 · Surgery only | $64.57 | $64.57 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $25.12 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $16.98 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $229.09 Typical High $302.00 | Professional | 50 · Both sides | $104.71 | $229.09 | $302.00 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 16th of 51
$182
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.