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 $1,047.13 Median $4,365.16 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $691.83 | Professional | None | $575.44 | $660.69 | $691.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $11,481.54 Median $19,054.61 Typical High $30,199.52 | Facility | None | $11,481.54 | $19,054.61 | $30,199.52 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $10,715.19 Typical High $12,589.25 | Facility | None | $1,445.44 | $10,715.19 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $831.76 | Professional | None | $512.86 | $831.76 | $831.76 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $5,888.44 Typical High $20,892.96 | Facility | None | $660.69 | $5,888.44 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $4,786.30 | Professional | None | $380.19 | $660.69 | $4,786.30 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $10,964.78 Typical High $21,379.62 | Facility | None | $3,235.94 | $10,964.78 | $21,379.62 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $691.83 | Professional | None | $338.84 | $426.58 | $691.83 |
2 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 54 · Surgery only Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $407.38 | $467.74 | $467.74 |
Where Oklahoma sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 24th 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.