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 $1,096.48 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,096.48 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $5,011.87 Median $17,378.01 Typical High $30,199.52 | Facility | None | $5,011.87 | $17,378.01 | $30,199.52 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,348.96 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,801.89 Typical High $4,677.35 | Facility | None | $630.96 | $3,801.89 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,258.93 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $15,848.93 | Facility | None | $1,380.38 | $3,019.95 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $7,762.47 | Professional | None | $933.25 | $1,202.26 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $15,135.61 | Facility | None | $1,905.46 | $7,762.47 | $15,135.61 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,548.82 | Professional | None | $870.96 | $1,096.48 | $1,548.82 |
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 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Where Oklahoma sits
The same service costs 7.6 times more in Alaska than in Texas. 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· 28th of 51
$1,380
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.