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 $91.20 Median $91.20 Typical High $125.89 | Facility | None | $91.20 | $91.20 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $125.89 | Professional | None | $91.20 | $123.03 | $125.89 |
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 $83.18 Median $112.20 Typical High $154.88 | Professional | None | $83.18 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $125.89 | Facility | None | $66.07 | $104.71 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $147.91 | Professional | None | $104.71 | $131.83 | $147.91 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $1,174.90 | Facility | None | $91.20 | $165.96 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $645.65 Typical High $933.25 | Professional | None | $107.15 | $645.65 | $933.25 |
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 $75.86 Median $104.71 Typical High $151.36 | Professional | None | $75.86 | $104.71 | $151.36 |
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 $44.67 Median $44.67 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $18.20 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $12.59 |
Where Oklahoma sits
The same service costs 3.6 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
$138
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.