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 $275.42 Median $2,818.38 Typical High $8,317.64 | Facility | None | $275.42 | $2,818.38 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $354.81 | Professional | None | $186.21 | $275.42 | $354.81 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $3,890.45 | Facility | None | $645.65 | $2,290.87 | $3,890.45 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $323.59 | Professional | None | $199.53 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $933.25 Typical High $1,122.02 | Facility | None | $407.38 | $933.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $407.38 | Professional | None | $190.55 | $281.84 | $407.38 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $4,073.80 | Facility | None | $275.42 | $467.74 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $2,187.76 Typical High $2,187.76 | Professional | None | $269.15 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,089.30 Typical High $4,168.69 | Facility | None | $467.74 | $2,089.30 | $4,168.69 |
United Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $389.05 | Professional | None | $173.78 | $257.04 | $389.05 |
5 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 $91.20 Median $93.33 Typical High $138.04 | Professional | 52 · Reduced service | $91.20 | $93.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $37.15 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $141.25 Typical High $208.93 | Professional | 54 · Surgery only | $138.04 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $41.69 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $27.54 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $27.54 |
Where Oklahoma sits
The same service costs 3.1 times more in Alaska than in New York. 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· 17th of 51
$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.