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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $295.12 | Professional | None | $239.88 | $257.04 | $295.12 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,258.93 Median $5,888.44 Typical High $10,232.93 | Facility | None | $1,258.93 | $5,888.44 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $316.23 | Professional | None | $229.09 | $288.40 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $1,995.26 | Facility | None | $776.25 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $331.13 | Professional | None | $257.04 | $281.84 | $331.13 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,202.26 Typical High $6,760.83 | Facility | None | $338.84 | $1,202.26 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $1,862.09 | Professional | None | $223.87 | $288.40 | $1,862.09 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $371.54 | Professional | None | $199.53 | $251.19 | $371.54 |
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 $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $47.86 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $194.98 Typical High $194.98 | Professional | 54 · Surgery only | $177.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $26.30 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $181.97 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $165.96 | $181.97 | $181.97 |
Where Oklahoma sits
The same service costs 6.0 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· 33rd of 51
$288
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.