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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $5,623.41 Median $9,332.54 Typical High $14,454.40 | Facility | None | $5,623.41 | $9,332.54 | $14,454.40 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $758.58 | Professional | None | $512.86 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,630.27 | Facility | None | $630.96 | $1,819.70 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $758.58 | Professional | None | $524.81 | $645.65 | $758.58 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $14,454.40 | Facility | None | $741.31 | $2,818.38 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $4,073.80 | Professional | None | $467.74 | $616.60 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $7,585.78 Typical High $14,454.40 | Facility | None | $1,862.09 | $7,585.78 | $14,454.40 |
United Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $794.33 | Professional | None | $446.68 | $562.34 | $794.33 |
6 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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Where Oklahoma sits
The same service costs 7.9 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
$708
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.