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 $77.62 Median $3,890.45 Typical High $18,620.87 | Facility | None | $77.62 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $77.62 | Professional | None | $51.29 | $64.57 | $77.62 |
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 $39.81 Median $69.18 Typical High $117.49 | Professional | None | $39.81 | $69.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $100.00 | Facility | None | $57.54 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | None | $58.88 | $70.79 | $93.33 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $1,288.25 | Facility | None | $66.07 | $109.65 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $371.54 Typical High $588.84 | Professional | None | $66.07 | $371.54 | $588.84 |
United Setting Facility Modifier None Typical Low $85.11 Median $575.44 Typical High $1,380.38 | Facility | None | $85.11 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $91.20 | Professional | None | $43.65 | $64.57 | $91.20 |
5 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 $25.12 Median $25.12 Typical High $38.90 | Professional | 52 · Reduced service | $25.12 | $25.12 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $15.49 | Professional | 53 · Discontinued | $10.23 | $10.23 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | 54 · Surgery only | $38.02 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $11.48 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $7.76 |
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· 19th of 51
$89.13
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.