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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $102.33 Typical High $117.49 | Professional | None | $29.51 | $102.33 | $117.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $1,513.56 | Facility | None | $446.68 | $954.99 | $1,513.56 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None | $33.11 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $141.25 | Facility | None | $66.07 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $97.72 Typical High $151.36 | Professional | None | $33.88 | $97.72 | $151.36 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $151.36 Typical High $1,288.25 | Facility | None | $43.65 | $151.36 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $741.31 Typical High $812.83 | Professional | None | $97.72 | $741.31 | $812.83 |
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 $28.84 Median $72.44 Typical High $151.36 | Professional | None | $28.84 | $72.44 | $151.36 |
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 $14.79 Median $14.79 Typical High $51.29 | Professional | 52 · Reduced service | $14.79 | $14.79 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $20.42 | Professional | 53 · Discontinued | $5.89 | $5.89 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $22.39 Typical High $77.62 | Professional | 54 · Surgery only | $22.39 | $22.39 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $15.49 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $10.23 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $10.23 |
Where Oklahoma sits
The same service costs 5.4 times more in Wisconsin than in Hawaii. 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· 7th of 51
$151
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.