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 $794.33 Median $3,090.30 Typical High $8,317.64 | Facility | None | $794.33 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $138.04 | Professional | None | $112.20 | $131.83 | $138.04 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $5,011.87 | Facility | None | $1,949.84 | $3,235.94 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $1,122.02 | Facility | None | $251.19 | $302.00 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $147.91 | Professional | None | $107.15 | $128.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $1,584.89 | Facility | None | $89.13 | $147.91 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $891.25 | Professional | None | $93.33 | $125.89 | $891.25 |
United Setting Facility Modifier None Typical Low $89.13 Median $630.96 Typical High $1,380.38 | Facility | None | $89.13 | $630.96 | $1,380.38 |
United Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $169.82 | Professional | None | $91.20 | $114.82 | $169.82 |
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 $56.23 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $100.00 Typical High $102.33 | Professional | 54 · Surgery only | $85.11 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $16.98 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $13.18 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.22 | $13.18 | $13.49 |
Where Oklahoma sits
The same service costs 4.8 times more in Alaska than in Florida. 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· 30th of 51
$129
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.