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 $758.58 Median $2,511.89 Typical High $7,585.78 | Facility | None | $758.58 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $758.58 Typical High $1,023.29 | Professional | None | $91.20 | $758.58 | $1,023.29 |
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 $100.00 Median $891.25 Typical High $1,318.26 | Professional | None | $100.00 | $891.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $724.44 Typical High $870.96 | Facility | None | $407.38 | $724.44 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $1,023.29 | Professional | None | $102.33 | $199.53 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $1,023.29 Typical High $3,467.37 | Facility | None | $128.82 | $1,023.29 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $3,467.37 Typical High $6,918.31 | Professional | None | $831.76 | $3,467.37 | $6,918.31 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,630.78 | Facility | None | $467.74 | $1,995.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $588.84 Typical High $1,071.52 | Professional | None | $74.13 | $588.84 | $1,071.52 |
5 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 $45.71 Median $120.23 Typical High $512.86 | Professional | 52 · Reduced service | $45.71 | $120.23 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $48.98 Typical High $204.17 | Professional | 53 · Discontinued | $18.20 | $48.98 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $181.97 Typical High $758.58 | Professional | 54 · Surgery only | $67.61 | $181.97 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $36.31 Typical High $151.36 | Professional | 55 · Aftercare only | $13.49 | $36.31 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $23.99 Typical High $102.33 | Professional | 56 · Pre-op care only | $9.12 | $23.99 | $102.33 |
Where Oklahoma sits
The same service costs 14.1 times more in Washington 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· 6th of 51
$1,023
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.