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 $128.82 Median $3,890.45 Typical High $18,620.87 | Facility | None | $128.82 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $128.82 | Professional | None | $74.13 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $162.18 | Professional | None | $67.61 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $123.03 | Facility | None | $66.07 | $87.10 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $138.04 | Professional | None | $79.43 | $123.03 | $138.04 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $1,174.90 | Facility | None | $81.28 | $173.78 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $512.86 Typical High $912.01 | Professional | None | $112.20 | $512.86 | $912.01 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $158.49 | Professional | None | $61.66 | $107.15 | $158.49 |
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 $37.15 Median $37.15 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $25.70 | Professional | 53 · Discontinued | $14.79 | $14.79 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | 54 · Surgery only | $54.95 | $54.95 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $19.50 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $12.88 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska 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· 21st of 51
$135
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.