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 $1,380.38 Median $5,754.40 Typical High $16,982.44 | Facility | None | $1,380.38 | $5,754.40 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $870.96 | Professional | None | $691.83 | $741.31 | $870.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,760.83 Median $11,220.18 Typical High $17,378.01 | Facility | None | $6,760.83 | $11,220.18 | $17,378.01 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,174.90 | Professional | None | $812.83 | $933.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $4,073.80 | Facility | None | $1,230.27 | $3,311.31 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $977.24 | Professional | None | $724.44 | $794.33 | $977.24 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,238.72 Typical High $10,715.19 | Facility | None | $954.99 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $10,964.78 | Professional | None | $660.69 | $851.14 | $10,964.78 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,096.48 | Professional | None | $602.56 | $741.31 | $1,096.48 |
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 $346.74 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $562.34 Typical High $575.44 | Professional | 54 · Surgery only | $512.86 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $524.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $524.81 | $537.03 |
Where Oklahoma sits
The same service costs 6.3 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· 33rd of 51
$813
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.