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 $295.12 Median $354.81 Typical High $436.52 | Professional | None | $295.12 | $354.81 | $436.52 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $12,302.69 | Facility | None | $4,786.30 | $7,943.28 | $12,302.69 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $549.54 | Professional | None | $269.15 | $398.11 | $549.54 |
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 $338.84 Median $446.68 Typical High $512.86 | Professional | None | $338.84 | $446.68 | $512.86 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $6,165.95 | Facility | None | $398.11 | $741.31 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $2,137.96 Typical High $3,162.28 | Professional | None | $389.05 | $2,137.96 | $3,162.28 |
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 $245.47 Median $371.54 Typical High $537.03 | Professional | None | $245.47 | $371.54 | $537.03 |
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 $144.54 Median $144.54 Typical High $218.78 | Professional | 52 · Reduced service | $144.54 | $144.54 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $87.10 | Professional | 53 · Discontinued | $58.88 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | 54 · Surgery only | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $64.57 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $302.00 |
Where Oklahoma sits
The same service costs 5.9 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· 24th of 51
$490
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.