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 $602.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $602.56 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $131.83 Typical High $134.90 | Professional | None | $51.29 | $131.83 | $134.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $4,677.35 | Facility | None | $1,819.70 | $3,019.95 | $4,677.35 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $169.82 | Professional | None | $45.71 | $102.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $467.74 | Facility | None | $123.03 | $144.54 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $151.36 | Professional | None | $58.88 | $79.43 | $151.36 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $169.82 Typical High $2,398.83 | Facility | None | $75.86 | $169.82 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $489.78 Typical High $954.99 | Professional | None | $97.72 | $489.78 | $954.99 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,454.71 | Facility | None | $269.15 | $1,258.93 | $2,454.71 |
United Setting Professional Modifier None Typical Low $42.66 Median $93.33 Typical High $141.25 | Professional | None | $42.66 | $93.33 | $141.25 |
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 $25.70 Median $42.66 Typical High $67.61 | Professional | 52 · Reduced service | $25.70 | $42.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $19.50 Typical High $26.92 | Professional | 53 · Discontinued | $10.23 | $19.50 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $64.57 Typical High $102.33 | Professional | 54 · Surgery only | $38.02 | $64.57 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $12.88 Typical High $20.42 | Professional | 55 · Aftercare only | $7.59 | $12.88 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $9.77 Typical High $13.49 | Professional | 56 · Pre-op care only | $5.13 | $9.77 | $13.49 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 58 · Staged procedure | $21.88 | $21.88 | $21.88 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Washington, DC. 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· 16th of 51
$126
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.