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 $234.42 Median $2,818.38 Typical High $8,317.64 | Facility | None | $234.42 | $2,818.38 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $199.53 | Professional | None | $114.82 | $162.18 | $199.53 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $4,897.79 | Facility | None | $1,949.84 | $3,162.28 | $4,897.79 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $239.88 | Professional | None | $131.83 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $630.96 | Facility | None | $141.25 | $169.82 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $208.93 | Professional | None | $120.23 | $165.96 | $208.93 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $3,981.07 | Facility | None | $158.49 | $239.88 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $831.76 Typical High $1,412.54 | Professional | None | $154.88 | $831.76 | $1,412.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $208.93 | Professional | None | $95.50 | $144.54 | $208.93 |
6 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 $58.88 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $120.23 Typical High $147.91 | Professional | 54 · Surgery only | $87.10 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.99 Typical High $29.51 | Professional | 55 · Aftercare only | $17.38 | $23.99 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $16.22 Typical High $19.95 | Professional | 56 · Pre-op care only | $11.75 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $112.20 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $81.28 | $112.20 | $138.04 |
Where Oklahoma sits
The same service costs 3.4 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· 21st of 51
$200
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.