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 $19.95 Median $19.95 Typical High $34.67 | Facility | None | $19.95 | $19.95 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $34.67 | Professional | None | $19.95 | $29.51 | $34.67 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $27.54 | Professional | None | $11.75 | $15.85 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $100.00 | Facility | None | $19.05 | $22.91 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $51.29 | Professional | None | $21.38 | $37.15 | $51.29 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $1,174.90 | Facility | None | $34.67 | $74.13 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $162.18 Typical High $338.84 | Professional | None | $30.20 | $162.18 | $338.84 |
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 $16.60 Median $30.20 Typical High $53.70 | Professional | None | $16.60 | $30.20 | $53.70 |
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 $10.00 Median $10.00 Typical High $17.38 | Professional | 52 · Reduced service | $10.00 | $10.00 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $6.92 | Professional | 53 · Discontinued | $4.07 | $4.07 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $5.13 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $3.47 |
Where Oklahoma sits
The same service costs 3.5 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· 29th of 51
$37.15
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.