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 $758.58 Median $2,511.89 Typical High $7,585.78 | Facility | None | $758.58 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,096.48 Typical High $1,584.89 | Professional | None | $288.40 | $1,096.48 | $1,584.89 |
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 $977.24 Typical High $1,698.24 | Professional | None | $239.88 | $977.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $1,905.46 | Professional | None | $316.23 | $416.87 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $933.25 Typical High $2,187.76 | Facility | None | $316.23 | $933.25 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $4,897.79 Typical High $9,332.54 | Professional | None | $1,258.93 | $4,897.79 | $9,332.54 |
United Setting Facility Modifier None Typical Low $165.96 Median $891.25 Typical High $1,548.82 | Facility | None | $165.96 | $891.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $229.09 Median $1,000.00 Typical High $1,905.46 | Professional | None | $229.09 | $1,000.00 | $1,905.46 |
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 $147.91 Median $194.98 Typical High $776.25 | Professional | 52 · Reduced service | $147.91 | $194.98 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $316.23 | Professional | 53 · Discontinued | $60.26 | $77.62 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $288.40 Typical High $1,174.90 | Professional | 54 · Surgery only | $223.87 | $288.40 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $57.54 Typical High $234.42 | Professional | 55 · Aftercare only | $44.67 | $57.54 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $38.90 Typical High $158.49 | Professional | 56 · Pre-op care only | $29.51 | $38.90 | $158.49 |
Where Oklahoma sits
The same service costs 6.5 times more in Washington 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· 15th of 51
$1,349
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.