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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $16,595.87 | Facility | None | $6,456.54 | $10,715.19 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $1,258.93 | Facility | None | $512.86 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $691.83 | Professional | None | $501.19 | $630.96 | $691.83 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $4,570.88 | Facility | None | $512.86 | $724.44 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $4,466.84 | Professional | None | $446.68 | $588.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $776.25 | Professional | None | $426.58 | $537.03 | $776.25 |
2 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 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Where Oklahoma sits
The same service costs 8.1 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· 26th of 51
$676
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.