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 $562.34 Median $3,890.45 Typical High $13,182.57 | Facility | None | $562.34 | $3,890.45 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $524.81 | Professional | None | $371.54 | $416.87 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None | $309.03 | $309.03 | $407.38 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,165.95 Median $10,000.00 Typical High $15,488.17 | Facility | None | $6,165.95 | $10,000.00 | $15,488.17 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $562.34 | Professional | None | $371.54 | $467.74 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $537.03 | Professional | None | $407.38 | $467.74 | $537.03 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $2,570.40 Typical High $10,232.93 | Facility | None | $512.86 | $2,570.40 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $3,162.28 | Professional | None | $346.74 | $457.09 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $7,943.28 Typical High $11,220.18 | Facility | None | $1,995.26 | $7,943.28 | $11,220.18 |
United Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $602.56 | Professional | None | $331.13 | $407.38 | $602.56 |
2 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 54 · Surgery only Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $281.84 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $263.03 | $295.12 | $295.12 |
Where Oklahoma sits
The same service costs 4.2 times more in Wyoming than in Utah. 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
$468
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.