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 $120.23 Median $120.23 Typical High $151.36 | Facility | None | $120.23 | $120.23 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $151.36 | Professional | None | $120.23 | $123.03 | $151.36 |
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 $109.65 Median $147.91 Typical High $186.21 | Professional | None | $109.65 | $147.91 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $112.20 | Facility | None | $66.07 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $190.55 | Professional | None | $134.90 | $162.18 | $190.55 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $1,174.90 | Facility | None | $89.13 | $199.53 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $851.14 Typical High $1,096.48 | Professional | None | $125.89 | $851.14 | $1,096.48 |
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 $100.00 Median $134.90 Typical High $186.21 | Professional | None | $100.00 | $134.90 | $186.21 |
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 $60.26 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $15.14 |
Where Oklahoma sits
The same service costs 4.3 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
$170
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.