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 $724.44 Median $794.33 Typical High $891.25 | Professional | None | $724.44 | $794.33 | $891.25 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,265.80 Median $7,079.46 Typical High $10,964.78 | Facility | None | $4,265.80 | $7,079.46 | $10,964.78 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $954.99 | Professional | None | $707.95 | $870.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,311.31 Typical High $3,801.89 | Facility | None | $870.96 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $977.24 | Professional | None | $724.44 | $831.76 | $977.24 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,023.29 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $6,760.83 | Professional | None | $676.08 | $870.96 | $6,760.83 |
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 $1,148.15 | Professional | None | $602.56 | $741.31 | $1,148.15 |
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 $363.08 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $363.08 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $549.54 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $549.54 |
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
$832
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.