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 $316.23 Median $316.23 Typical High $338.84 | Professional | None | $316.23 | $316.23 | $338.84 |
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 $295.12 Median $389.05 Typical High $436.52 | Professional | None | $295.12 | $389.05 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $467.74 | Facility | None | $138.04 | $169.82 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $416.87 | Professional | None | $309.03 | $371.54 | $416.87 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $446.68 Typical High $1,659.59 | Facility | None | $112.20 | $446.68 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $2,290.87 Typical High $2,511.89 | Professional | None | $281.84 | $2,290.87 | $2,511.89 |
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 $245.47 Median $309.03 Typical High $446.68 | Professional | None | $245.47 | $309.03 | $446.68 |
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 $158.49 Median $158.49 Typical High $169.82 | Professional | 52 · Reduced service | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 54 · Surgery only | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $239.88 |
Where Oklahoma sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 27th of 51
$389
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.