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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $204.17 | Professional | None | $89.13 | $165.96 | $204.17 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,187.76 | Facility | None | $1,174.90 | $1,548.82 | $2,187.76 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $275.42 | Professional | None | $95.50 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $758.58 | Facility | None | $144.54 | $173.78 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $229.09 | Professional | None | $97.72 | $138.04 | $229.09 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $645.65 Typical High $3,981.07 | Facility | None | $93.33 | $645.65 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $724.44 Typical High $1,412.54 | Professional | None | $177.83 | $724.44 | $1,412.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,630.78 | Facility | None | $467.74 | $1,995.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $239.88 | Professional | None | $74.13 | $147.91 | $239.88 |
5 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 $44.67 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $44.67 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $17.78 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $117.49 Typical High $154.88 | Professional | 54 · Surgery only | $66.07 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $23.44 Typical High $30.90 | Professional | 55 · Aftercare only | $13.18 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $15.85 Typical High $20.42 | Professional | 56 · Pre-op care only | $8.91 | $15.85 | $20.42 |
Where Oklahoma sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 15th of 51
$209
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.