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 $549.54 Median $616.60 Typical High $660.69 | Professional | None | $549.54 | $616.60 | $660.69 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,165.95 Median $10,232.93 Typical High $15,848.93 | Facility | None | $6,165.95 | $10,232.93 | $15,848.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $5,623.41 Typical High $6,760.83 | Facility | None | $1,445.44 | $5,623.41 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $776.25 | Professional | None | $478.63 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $4,073.80 Typical High $10,471.29 | Facility | None | $616.60 | $4,073.80 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $4,265.80 | Professional | None | $436.52 | $758.58 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $1,380.38 | Professional | None | $389.05 | $501.19 | $1,380.38 |
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 $407.38 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $407.38 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $389.05 | $436.52 | $436.52 |
Where Oklahoma sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 21st of 51
$776
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.