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 $512.86 Median $602.56 Typical High $691.83 | Professional | None | $512.86 | $602.56 | $691.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,606.93 Median $10,964.78 Typical High $16,982.44 | Facility | None | $6,606.93 | $10,964.78 | $16,982.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $870.96 | Professional | None | $467.74 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,819.70 Typical High $2,187.76 | Facility | None | $776.25 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $831.76 | Professional | None | $588.84 | $691.83 | $831.76 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $6,165.95 | Facility | None | $691.83 | $933.25 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $3,715.35 Typical High $4,897.79 | Professional | None | $588.84 | $3,715.35 | $4,897.79 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $831.76 | Professional | None | $436.52 | $588.84 | $831.76 |
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 $257.04 Median $257.04 Typical High $346.74 | Professional | 52 · Reduced service | $257.04 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | 53 · Discontinued | $102.33 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $478.63 |
Where Oklahoma sits
The same service costs 5.8 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· 25th of 51
$776
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.