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 $144.54 Median $251.19 Typical High $251.19 | Professional | None | $144.54 | $251.19 | $251.19 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,412.54 | Facility | None | $549.54 | $912.01 | $1,412.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $309.03 | Professional | None | $128.82 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $467.74 | Facility | None | $204.17 | $245.47 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $281.84 | Professional | None | $151.36 | $218.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $1,174.90 | Facility | None | $95.50 | $316.23 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $1,023.29 Typical High $1,778.28 | Professional | None | $204.17 | $1,023.29 | $1,778.28 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $275.42 | Professional | None | $120.23 | $194.98 | $275.42 |
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 $72.44 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $72.44 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $28.84 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $165.96 Typical High $190.55 | Professional | 54 · Surgery only | $109.65 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $33.11 Typical High $38.02 | Professional | 55 · Aftercare only | $21.88 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $21.88 Typical High $25.12 | Professional | 56 · Pre-op care only | $14.45 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $154.88 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $102.33 | $154.88 | $177.83 |
Where Oklahoma sits
The same service costs 3.5 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· 25th of 51
$245
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.