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 $1,348.96 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,148.15 | Professional | None | $933.25 | $1,023.29 | $1,148.15 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,549.93 Median $15,848.93 Typical High $24,547.09 | Facility | None | $9,549.93 | $15,848.93 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $1,995.26 | Facility | None | $870.96 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,288.25 | Professional | None | $933.25 | $1,096.48 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $10,232.93 | Facility | None | $1,258.93 | $2,238.72 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $9,120.11 | Professional | None | $870.96 | $1,122.02 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,370.32 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,370.32 | $10,715.19 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,513.56 | Professional | None | $812.83 | $1,023.29 | $1,513.56 |
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 $467.74 Median $512.86 Typical High $524.81 | Professional | 52 · Reduced service | $467.74 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $204.17 Typical High $208.93 | Professional | 53 · Discontinued | $186.21 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $707.95 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $158.49 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $104.71 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $741.31 |
Where Oklahoma sits
The same service costs 6.2 times more in Alaska than in Texas. 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· 32nd of 51
$1,096
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.