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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $3,162.28 | Professional | None | $141.25 | $234.42 | $3,162.28 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $275.42 | Professional | None | $123.03 | $165.96 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,862.09 Typical High $2,187.76 | Facility | None | $512.86 | $1,862.09 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $269.15 | Professional | None | $141.25 | $204.17 | $269.15 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $6,025.60 | Facility | None | $181.97 | $338.84 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $1,819.70 Typical High $1,995.26 | Professional | None | $204.17 | $1,819.70 | $1,995.26 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $316.23 | Professional | None | $120.23 | $194.98 | $316.23 |
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 $70.79 Median $72.44 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $72.44 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $28.84 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $107.15 Typical High $177.83 | Professional | 54 · Surgery only | $104.71 | $107.15 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.38 Typical High $35.48 | Professional | 55 · Aftercare only | $20.89 | $21.38 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.45 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.13 | $14.45 | $23.99 |
Where Oklahoma sits
The same service costs 3.7 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· 17th of 51
$288
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.