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 $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $162.18 | Professional | None | $134.90 | $154.88 | $162.18 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $165.96 | Professional | None | $123.03 | $154.88 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $467.74 | Facility | None | $251.19 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $177.83 | Professional | None | $141.25 | $147.91 | $177.83 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $186.21 Typical High $1,584.89 | Facility | None | $93.33 | $186.21 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $1,737.80 | Professional | None | $120.23 | $154.88 | $1,737.80 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $199.53 | Professional | None | $107.15 | $131.83 | $199.53 |
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 $67.61 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $117.49 Typical High $120.23 | Professional | 54 · Surgery only | $100.00 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $23.44 Typical High $23.99 | Professional | 55 · Aftercare only | $19.95 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.49 Typical High $15.85 | Professional | 56 · Pre-op care only | $13.49 | $15.49 | $15.85 |
Where Oklahoma sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 36th of 51
$148
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.