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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $251.19 | Professional | None | $162.18 | $213.80 | $251.19 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $724.44 | Facility | None | $281.84 | $467.74 | $724.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $316.23 | Professional | None | $147.91 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $194.98 | Facility | None | $66.07 | $169.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $302.00 | Professional | None | $190.55 | $229.09 | $302.00 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $331.13 Typical High $1,174.90 | Facility | None | $95.50 | $331.13 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,174.90 Typical High $1,862.09 | Professional | None | $213.80 | $1,174.90 | $1,862.09 |
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 $134.90 Median $199.53 Typical High $288.40 | Professional | None | $134.90 | $199.53 | $288.40 |
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 $81.28 Median $81.28 Typical High $125.89 | Professional | 52 · Reduced service | $81.28 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | 53 · Discontinued | $32.36 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $186.21 | Professional | 54 · Surgery only | $123.03 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $25.12 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $25.12 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in Maryland. 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· 21st of 51
$269
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.