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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $741.31 | Professional | None | $549.54 | $616.60 | $741.31 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,023.29 | Professional | None | $616.60 | $758.58 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,584.89 Typical High $1,905.46 | Facility | None | $512.86 | $1,584.89 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $741.31 | Professional | None | $524.81 | $691.83 | $741.31 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $6,165.95 | Facility | None | $724.44 | $1,202.26 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $4,168.69 | Professional | None | $467.74 | $645.65 | $4,168.69 |
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 $457.09 Median $575.44 Typical High $870.96 | Professional | None | $457.09 | $575.44 | $870.96 |
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 $275.42 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $275.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $416.87 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $389.05 | $426.58 | $426.58 |
Where Oklahoma sits
The same service costs 5.5 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
$692
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.