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 $1,445.44 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,445.44 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $23,988.33 | Facility | None | $9,332.54 | $15,488.17 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,995.26 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,187.76 | Facility | None | $630.96 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,445.44 | $1,819.70 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $14,125.38 | Facility | None | $1,412.54 | $2,187.76 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $11,220.18 | Professional | None | $1,122.02 | $1,737.80 | $11,220.18 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $7,585.78 Typical High $14,454.40 | Facility | None | $1,862.09 | $7,585.78 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,047.13 | $1,445.44 | $2,290.87 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,122.02 |
Where Oklahoma sits
The same service costs 8.5 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
$1,950
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.