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 $16.98 Median $16.98 Typical High $83.18 | Facility | None | $16.98 | $16.98 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $83.18 | Professional | None | $16.98 | $16.98 | $83.18 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,348.96 | Facility | None | $524.81 | $870.96 | $1,348.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $13.80 Median $50.12 Typical High $123.03 | Professional | None | $13.80 | $50.12 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $630.96 | Facility | None | $61.66 | $72.44 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $47.86 Typical High $91.20 | Professional | None | $19.05 | $47.86 | $91.20 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $1,479.11 | Facility | None | $22.39 | $95.50 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $588.84 | Professional | None | $70.79 | $141.25 | $588.84 |
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 $14.45 Median $54.95 Typical High $97.72 | Professional | None | $14.45 | $54.95 | $97.72 |
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 $8.51 Median $8.51 Typical High $41.69 | Professional | 52 · Reduced service | $8.51 | $8.51 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $16.98 | Professional | 53 · Discontinued | $3.39 | $3.39 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $12.59 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $8.32 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $8.32 |
Where Oklahoma sits
The same service costs 5.9 times more in Iowa 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· 10th of 51
$89.13
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.