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 $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,290.87 | Facility | None | $912.01 | $1,479.11 | $2,290.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $229.09 | Professional | None | $141.25 | $190.55 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $169.82 | Facility | None | $66.07 | $147.91 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $229.09 | Professional | None | $169.82 | $190.55 | $229.09 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $1,174.90 | Facility | None | $95.50 | $245.47 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $1,148.15 Typical High $1,380.38 | Professional | None | $154.88 | $1,148.15 | $1,380.38 |
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 $125.89 Median $165.96 Typical High $229.09 | Professional | None | $125.89 | $165.96 | $229.09 |
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 $77.62 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 54 · Surgery only | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $107.15 | $107.15 | $128.82 |
Where Oklahoma sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 28th 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.