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 $89.13 Median $165.96 Typical High $218.78 | Professional | None | $89.13 | $165.96 | $218.78 |
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 |
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 $102.33 Median $134.90 Typical High $234.42 | Professional | None | $102.33 | $134.90 | $234.42 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $4,073.80 | Facility | None | $123.03 | $302.00 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $794.33 Typical High $1,479.11 | Professional | None | $162.18 | $794.33 | $1,479.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $218.78 | Professional | None | $74.13 | $144.54 | $218.78 |
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 $44.67 Median $72.44 Typical High $109.65 | Professional | 52 · Reduced service | $44.67 | $72.44 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $28.84 Typical High $43.65 | Professional | 53 · Discontinued | $17.78 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $107.15 Typical High $165.96 | Professional | 54 · Surgery only | $67.61 | $107.15 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $21.38 Typical High $33.11 | Professional | 55 · Aftercare only | $13.49 | $21.38 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $14.45 Typical High $21.88 | Professional | 56 · Pre-op care only | $8.91 | $14.45 | $21.88 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $83.18 | $83.18 | $83.18 |
Where Oklahoma sits
The same service costs 4.5 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· 13th of 51
$219
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.