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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $120.23 Typical High $169.82 | Professional | None | $42.66 | $120.23 | $169.82 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $234.42 Median $851.14 Typical High $1,380.38 | Facility | None | $234.42 | $851.14 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $97.72 Typical High $181.97 | Professional | None | $47.86 | $97.72 | $181.97 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $218.78 Typical High $2,398.83 | Facility | None | $56.23 | $218.78 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $602.56 Typical High $1,202.26 | Professional | None | $123.03 | $602.56 | $1,202.26 |
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 $35.48 Median $87.10 Typical High $177.83 | Professional | None | $35.48 | $87.10 | $177.83 |
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 $21.38 Median $48.98 Typical High $85.11 | Professional | 52 · Reduced service | $21.38 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $19.50 Typical High $33.88 | Professional | 53 · Discontinued | $8.51 | $19.50 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $74.13 Typical High $128.82 | Professional | 54 · Surgery only | $31.62 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $14.79 Typical High $25.70 | Professional | 55 · Aftercare only | $6.31 | $14.79 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $9.77 Typical High $16.98 | Professional | 56 · Pre-op care only | $4.27 | $9.77 | $16.98 |
Where Oklahoma sits
The same service costs 4.6 times more in Wisconsin 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· 12th of 51
$170
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.