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 $43.65 Median $75.86 Typical High $125.89 | Professional | None | $43.65 | $75.86 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $123.03 | Professional | None | $22.39 | $22.39 | $123.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $199.53 | Facility | None | $79.43 | $79.43 | $199.53 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $38.90 Median $85.11 Typical High $154.88 | Professional | None | $38.90 | $85.11 | $154.88 |
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 $48.98 Median $70.79 Typical High $131.83 | Professional | None | $48.98 | $70.79 | $131.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $1,174.90 | Facility | None | $54.95 | $123.03 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $870.96 | Professional | None | $79.43 | $446.68 | $870.96 |
United Setting Facility Modifier None Typical Low $85.11 Median $575.44 Typical High $1,380.38 | Facility | None | $85.11 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $35.48 Median $74.13 Typical High $117.49 | Professional | None | $35.48 | $74.13 | $117.49 |
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 $34.67 Typical High $63.10 | Professional | 52 · Reduced service | $21.38 | $34.67 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.80 Typical High $25.70 | Professional | 53 · Discontinued | $8.71 | $13.80 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $51.29 Typical High $95.50 | Professional | 54 · Surgery only | $32.36 | $51.29 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $10.23 Typical High $19.05 | Professional | 55 · Aftercare only | $6.46 | $10.23 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.92 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.37 | $6.92 | $12.59 |
Where Oklahoma sits
The same service costs 3.4 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· 17th of 51
$107
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.