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 $102.33 Median $138.04 Typical High $138.04 | Professional | None | $102.33 | $138.04 | $138.04 |
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 $95.50 Median $128.82 Typical High $173.78 | Professional | None | $95.50 | $128.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $125.89 | Facility | None | $66.07 | $107.15 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | None | $117.49 | $141.25 | $169.82 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $181.97 Typical High $1,174.90 | Facility | None | $93.33 | $181.97 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $724.44 Typical High $1,023.29 | Professional | None | $117.49 | $724.44 | $1,023.29 |
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 $87.10 Median $117.49 Typical High $165.96 | Professional | None | $87.10 | $117.49 | $165.96 |
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 $51.29 Median $51.29 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 53 · Discontinued | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $13.80 |
Where Oklahoma sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 32nd of 51
$145
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.