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 $85.11 Median $147.91 Typical High $239.88 | Professional | None | $85.11 | $147.91 | $239.88 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $4,677.35 | Facility | None | $1,819.70 | $3,019.95 | $4,677.35 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $323.59 | Professional | None | $79.43 | $177.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $676.08 | Facility | None | $407.38 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $251.19 | Professional | None | $97.72 | $134.90 | $251.19 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $3,981.07 | Facility | None | $114.82 | $302.00 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $851.14 Typical High $1,659.59 | Professional | None | $173.78 | $851.14 | $1,659.59 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,630.78 | Facility | None | $467.74 | $1,995.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $229.09 | Professional | None | $70.79 | $147.91 | $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 $42.66 Median $66.07 Typical High $120.23 | Professional | 52 · Reduced service | $42.66 | $66.07 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $26.92 Typical High $48.98 | Professional | 53 · Discontinued | $17.38 | $26.92 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $100.00 Typical High $181.97 | Professional | 54 · Surgery only | $64.57 | $100.00 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $21.88 Typical High $36.31 | Professional | 55 · Aftercare only | $12.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $14.45 Typical High $23.99 | Professional | 56 · Pre-op care only | $8.71 | $14.45 | $23.99 |
Where Oklahoma sits
The same service costs 4.1 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
$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.