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 $1,000.00 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,000.00 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $645.65 | Professional | None | $549.54 | $602.56 | $645.65 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | None | $676.08 | $870.96 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $724.44 Typical High $1,047.13 | Facility | None | $407.38 | $724.44 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $758.58 | Professional | None | $562.34 | $676.08 | $758.58 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $4,168.69 | Facility | None | $467.74 | $741.31 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $4,168.69 | Professional | None | $501.19 | $660.69 | $4,168.69 |
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 $467.74 Median $588.84 Typical High $870.96 | Professional | None | $467.74 | $588.84 | $870.96 |
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 $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $380.19 | $426.58 | $426.58 |
Where Oklahoma sits
The same service costs 5.5 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· 31st of 51
$676
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.