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 $645.65 Median $724.44 Typical High $758.58 | Professional | None | $645.65 | $724.44 | $758.58 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,258.93 | Facility | None | $549.54 | $891.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $891.25 | Professional | None | $549.54 | $891.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,096.48 Typical High $6,165.95 | Facility | None | $269.15 | $1,096.48 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $5,248.07 | Professional | None | $575.44 | $933.25 | $5,248.07 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $6,025.60 | Facility | None | $426.58 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,230.27 | Professional | None | $512.86 | $676.08 | $1,230.27 |
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 $489.78 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $512.86 |
Where Oklahoma sits
The same service costs 8.5 times more in Alaska 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· 25th of 51
$891
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.