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 $66.07 Typical High $87.10 | Facility | None | $43.65 | $66.07 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $66.07 | Professional | None | $40.74 | $54.95 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $72.44 | Professional | None | $38.02 | $44.67 | $72.44 |
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 $39.81 Median $60.26 Typical High $83.18 | Professional | None | $39.81 | $60.26 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $81.28 | Professional | None | $47.86 | $64.57 | $81.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $1,148.15 | Facility | None | $54.95 | $89.13 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $302.00 Typical High $501.19 | Professional | None | $56.23 | $302.00 | $501.19 |
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 $34.67 Median $52.48 Typical High $77.62 | Professional | None | $34.67 | $52.48 | $77.62 |
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 $20.42 Median $20.42 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $20.42 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $13.18 | Professional | 53 · Discontinued | $8.32 | $8.32 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $10.00 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $6.61 |
Where Oklahoma sits
The same service costs 4.0 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· 25th of 51
$70.79
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.