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 $1,288.25 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,288.25 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,691.53 | $2,818.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $4,570.88 | Professional | None | $2,398.83 | $3,311.31 | $4,570.88 |
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 $2,511.89 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,511.89 | $2,951.21 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $2,951.21 Typical High $5,888.44 | Facility | None | $398.11 | $2,951.21 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $17,782.79 | Professional | None | $2,187.76 | $2,884.03 | $17,782.79 |
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 $2,089.30 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,630.27 | $3,801.89 |
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 $1,174.90 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,174.90 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,778.28 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $354.81 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $234.42 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,862.09 | $1,862.09 |
Where Oklahoma sits
The same service costs 21.4 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· 29th of 51
$2,884
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.