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 $87.10 Median $87.10 Typical High $125.89 | Facility | None | $87.10 | $87.10 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | None | $87.10 | $87.10 | $125.89 |
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 $97.72 Median $134.90 Typical High $194.98 | Professional | None | $97.72 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $125.89 | Facility | None | $66.07 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $147.91 | Professional | None | $97.72 | $128.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $165.96 Typical High $1,174.90 | Facility | None | $87.10 | $165.96 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $602.56 Typical High $912.01 | Professional | None | $107.15 | $602.56 | $912.01 |
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 $72.44 Median $102.33 Typical High $147.91 | Professional | None | $72.44 | $102.33 | $147.91 |
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 $43.65 Median $43.65 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | 53 · Discontinued | $17.38 | $17.38 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $18.62 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $12.59 |
Where Oklahoma sits
The same service costs 3.5 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
$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.