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 $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
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 $275.42 Typical High $302.00 | Professional | None | $218.78 | $275.42 | $302.00 |
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 $177.83 Median $239.88 Typical High $288.40 | Professional | None | $177.83 | $239.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $1,174.90 | Facility | None | $95.50 | $223.87 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $1,513.56 Typical High $1,819.70 | Professional | None | $190.55 | $1,513.56 | $1,819.70 |
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 $154.88 Median $199.53 Typical High $295.12 | Professional | None | $154.88 | $199.53 | $295.12 |
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 $102.33 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 54 · Surgery only | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $141.25 | $141.25 | $169.82 |
Where Oklahoma sits
The same service costs 5.0 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· 26th of 51
$263
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.