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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $389.05 | Professional | None | $275.42 | $346.74 | $389.05 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $8,709.64 | Facility | None | $3,467.37 | $5,623.41 | $8,709.64 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $478.63 | Professional | None | $251.19 | $346.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $1,995.26 | Facility | None | $512.86 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $416.87 | Professional | None | $281.84 | $354.81 | $416.87 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $4,265.80 | Facility | None | $389.05 | $512.86 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $1,995.26 Typical High $2,691.53 | Professional | None | $331.13 | $1,995.26 | $2,691.53 |
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 $239.88 Median $316.23 Typical High $457.09 | Professional | None | $239.88 | $316.23 | $457.09 |
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 $141.25 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $141.25 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $56.23 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $257.04 Typical High $288.40 | Professional | 54 · Surgery only | $208.93 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $51.29 Typical High $57.54 | Professional | 55 · Aftercare only | $41.69 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $28.18 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $239.88 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $194.98 | $239.88 | $269.15 |
Where Oklahoma sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 25th of 51
$398
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.