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 $107.15 Median $173.78 Typical High $229.09 | Professional | None | $107.15 | $173.78 | $229.09 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $5,128.61 | Facility | None | $1,995.26 | $3,311.31 | $5,128.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $331.13 | Professional | None | $114.82 | $194.98 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,584.89 Typical High $1,819.70 | Facility | None | $407.38 | $1,584.89 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $245.47 | Professional | None | $120.23 | $147.91 | $245.47 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $331.13 Typical High $6,025.60 | Facility | None | $147.91 | $331.13 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $831.76 Typical High $1,548.82 | Professional | None | $173.78 | $831.76 | $1,548.82 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $229.09 | Professional | None | $87.10 | $154.88 | $229.09 |
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 $53.70 Median $81.28 Typical High $114.82 | Professional | 52 · Reduced service | $53.70 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $45.71 | Professional | 53 · Discontinued | $21.38 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $123.03 Typical High $173.78 | Professional | 54 · Surgery only | $79.43 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $34.67 | Professional | 55 · Aftercare only | $15.85 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.60 Typical High $22.91 | Professional | 56 · Pre-op care only | $10.72 | $16.60 | $22.91 |
Where Oklahoma sits
The same service costs 4.0 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
$229
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.