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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $204.17 | Professional | None | $117.49 | $190.55 | $204.17 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $8,709.64 | Facility | None | $3,467.37 | $5,623.41 | $8,709.64 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $245.47 | Professional | None | $102.33 | $173.78 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $144.54 Typical High $162.18 | Facility | None | $66.07 | $144.54 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $239.88 | Professional | None | $120.23 | $173.78 | $239.88 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $239.88 Typical High $1,174.90 | Facility | None | $93.33 | $239.88 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $831.76 Typical High $1,380.38 | Professional | None | $169.82 | $831.76 | $1,380.38 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $275.42 | Professional | None | $95.50 | $158.49 | $275.42 |
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 $58.88 Median $60.26 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $60.26 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $91.20 Typical High $151.36 | Professional | 54 · Surgery only | $89.13 | $91.20 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $18.20 Typical High $30.20 | Professional | 55 · Aftercare only | $17.78 | $18.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $85.11 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $83.18 | $85.11 | $141.25 |
Where Oklahoma sits
The same service costs 4.5 times more in Alaska 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· 7th of 51
$282
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.