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 $70.79 Median $97.72 Typical High $295.12 | Facility | None | $70.79 | $97.72 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $97.72 | Professional | None | $70.79 | $95.50 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | None | $93.33 | $104.71 | $104.71 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $707.95 | Facility | None | $281.84 | $457.09 | $707.95 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $123.03 | Professional | None | $67.61 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $117.49 | Facility | None | $66.07 | $83.18 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $117.49 | Professional | None | $81.28 | $102.33 | $117.49 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $1,174.90 | Facility | None | $81.28 | $131.83 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $501.19 Typical High $724.44 | Professional | None | $83.18 | $501.19 | $724.44 |
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 $58.88 Median $81.28 Typical High $117.49 | Professional | None | $58.88 | $81.28 | $117.49 |
4 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 $35.48 Median $35.48 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $9.77 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $9.77 |
Where Oklahoma sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$105
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.