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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | None | $112.20 | $128.82 | $134.90 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $199.53 | Professional | None | $95.50 | $120.23 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,258.93 | Facility | None | $478.63 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $169.82 | Professional | None | $128.82 | $141.25 | $169.82 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $524.81 Typical High $4,073.80 | Facility | None | $134.90 | $524.81 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $1,148.15 | Professional | None | $109.65 | $141.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,890.45 | Facility | None | $467.74 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $186.21 | Professional | None | $100.00 | $125.89 | $186.21 |
1 more rate 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 $87.10 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $87.10 | $95.50 | $95.50 |
Where Oklahoma sits
The same service costs 4.9 times more in Alaska 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· 31st of 51
$141
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.