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 $1,148.15 Median $4,365.16 Typical High $13,182.57 | Facility | None | $1,148.15 | $4,365.16 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $537.03 | Professional | None | $389.05 | $537.03 | $537.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $10,232.93 | Facility | None | $3,981.07 | $6,606.93 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $691.83 | Professional | None | $354.81 | $501.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,122.02 | Facility | None | $691.83 | $851.14 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $616.60 | Professional | None | $436.52 | $524.81 | $616.60 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $2,818.38 | Facility | None | $354.81 | $741.31 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $2,754.23 Typical High $3,890.45 | Professional | None | $467.74 | $2,754.23 | $3,890.45 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $645.65 | Professional | None | $323.59 | $457.09 | $645.65 |
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 $190.55 Median $190.55 Typical High $269.15 | Professional | 52 · Reduced service | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | 53 · Discontinued | $77.62 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | 54 · Surgery only | $288.40 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $53.70 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $380.19 |
Where Oklahoma sits
The same service costs 4.8 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· 26th of 51
$575
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.