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 $43.65 Median $85.11 Typical High $123.03 | Facility | None | $43.65 | $85.11 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $83.18 | Professional | None | $43.65 | $63.10 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,348.96 | Facility | None | $524.81 | $870.96 | $1,348.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $104.71 | Professional | None | $45.71 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $104.71 | Facility | None | $61.66 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $104.71 | Professional | None | $50.12 | $83.18 | $104.71 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $1,174.90 | Facility | None | $63.10 | $123.03 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $331.13 Typical High $616.60 | Professional | None | $70.79 | $331.13 | $616.60 |
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 $37.15 Median $66.07 Typical High $97.72 | Professional | None | $37.15 | $66.07 | $97.72 |
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 $21.88 Median $21.88 Typical High $41.69 | Professional | 52 · Reduced service | $21.88 | $21.88 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $16.60 | Professional | 53 · Discontinued | $8.71 | $8.71 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $12.59 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $8.32 |
Where Oklahoma sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 24th of 51
$87.10
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.