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 $234.42 Median $234.42 Typical High $269.15 | Professional | None | $234.42 | $234.42 | $269.15 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,995.26 | $3,090.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $338.84 | Professional | None | $218.78 | $295.12 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $169.82 | Facility | None | $66.07 | $151.36 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Professional | None | $257.04 | $295.12 | $346.74 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $354.81 Typical High $1,174.90 | Facility | None | $95.50 | $354.81 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,737.80 Typical High $1,995.26 | Professional | None | $223.87 | $1,737.80 | $1,995.26 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $346.74 | Professional | None | $194.98 | $251.19 | $346.74 |
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 $117.49 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 54 · Surgery only | $177.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $165.96 | $165.96 | $186.21 |
Where Oklahoma sits
The same service costs 5.1 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· 27th of 51
$309
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.