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 $53.70 Median $162.18 Typical High $223.87 | Professional | None | $53.70 | $162.18 | $223.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $851.14 | Facility | None | $457.09 | $602.56 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $63.10 Median $181.97 Typical High $331.13 | Professional | None | $63.10 | $181.97 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $234.42 | Professional | None | $61.66 | $125.89 | $234.42 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $223.87 Typical High $1,174.90 | Facility | None | $74.13 | $223.87 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $794.33 Typical High $2,238.72 | Professional | None | $165.96 | $794.33 | $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 $46.77 Median $120.23 Typical High $229.09 | Professional | None | $46.77 | $120.23 | $229.09 |
5 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 $26.92 Median $26.92 Typical High $112.20 | Professional | 52 · Reduced service | $26.92 | $26.92 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $45.71 | Professional | 53 · Discontinued | $10.96 | $10.96 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $40.74 Typical High $169.82 | Professional | 54 · Surgery only | $40.74 | $40.74 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $33.88 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $22.39 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $22.39 |
Where Oklahoma sits
The same service costs 4.6 times more in Iowa than in Kentucky. 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· 11th of 51
$209
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.