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 $1,000.00 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $1,023.29 Typical High $1,258.93 | Professional | None | $251.19 | $1,023.29 | $1,258.93 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $7,244.36 | Facility | None | $3,890.45 | $5,128.61 | $7,244.36 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $1,698.24 | Professional | None | $239.88 | $436.52 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $1,412.54 | Professional | None | $275.42 | $371.54 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,621.81 Typical High $7,244.36 | Facility | None | $316.23 | $1,621.81 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $3,630.78 Typical High $7,079.46 | Professional | None | $1,071.52 | $3,630.78 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $5,888.44 Typical High $9,120.11 | Facility | None | $1,380.38 | $5,888.44 | $9,120.11 |
United Setting Professional Modifier None Typical Low $190.55 Median $812.83 Typical High $1,698.24 | Professional | None | $190.55 | $812.83 | $1,698.24 |
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 $123.03 Median $158.49 Typical High $630.96 | Professional | 52 · Reduced service | $123.03 | $158.49 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $64.57 Typical High $251.19 | Professional | 53 · Discontinued | $48.98 | $64.57 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $239.88 Typical High $954.99 | Professional | 54 · Surgery only | $186.21 | $239.88 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $47.86 Typical High $190.55 | Professional | 55 · Aftercare only | $37.15 | $47.86 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $31.62 Typical High $125.89 | Professional | 56 · Pre-op care only | $24.55 | $31.62 | $125.89 |
Where Oklahoma sits
The same service costs 5.9 times more in Wisconsin than in Maryland. 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· 5th of 51
$1,288
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.