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 $46.77 Median $46.77 Typical High $66.07 | Facility | None | $46.77 | $46.77 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $81.28 | Professional | None | $42.66 | $58.88 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $100.00 | Facility | None | $39.81 | $47.86 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $77.62 | Professional | None | $53.70 | $69.18 | $77.62 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $91.20 Typical High $1,174.90 | Facility | None | $58.88 | $91.20 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $331.13 Typical High $489.78 | Professional | None | $53.70 | $331.13 | $489.78 |
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 $38.02 Median $53.70 Typical High $75.86 | Professional | None | $38.02 | $53.70 | $75.86 |
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 $23.44 Median $23.44 Typical High $33.11 | Professional | 52 · Reduced service | $23.44 | $23.44 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $13.18 | Professional | 53 · Discontinued | $9.33 | $9.33 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $9.77 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $6.61 |
Where Oklahoma sits
The same service costs 3.5 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
$66.07
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.