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 $234.42 Median $288.40 Typical High $323.59 | Professional | None | $234.42 | $288.40 | $323.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,467.37 Median $5,754.40 Typical High $8,912.51 | Facility | None | $3,467.37 | $5,754.40 | $8,912.51 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $501.19 | Professional | None | $269.15 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $891.25 | Facility | None | $512.86 | $724.44 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | None | $245.47 | $309.03 | $363.08 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $4,073.80 | Facility | None | $316.23 | $436.52 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $1,698.24 Typical High $2,290.87 | Professional | None | $281.84 | $1,698.24 | $2,290.87 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $3,890.45 | Facility | None | $467.74 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | None | $199.53 | $269.15 | $380.19 |
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 $120.23 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $213.80 Typical High $239.88 | Professional | 54 · Surgery only | $177.83 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $47.86 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $23.99 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $199.53 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $165.96 | $199.53 | $223.87 |
Where Oklahoma sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 26th of 51
$339
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.