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 $218.78 Median $2,454.71 Typical High $7,585.78 | Facility | None | $218.78 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $128.82 Typical High $162.18 | Professional | None | $32.36 | $128.82 | $162.18 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $851.14 | Facility | None | $457.09 | $602.56 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $29.51 Median $138.04 Typical High $186.21 | Professional | None | $29.51 | $138.04 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $57.54 Typical High $190.55 | Professional | None | $36.31 | $57.54 | $190.55 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $223.87 Typical High $1,548.82 | Facility | None | $42.66 | $223.87 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $501.19 Typical High $1,000.00 | Professional | None | $154.88 | $501.19 | $1,000.00 |
United Setting Facility Modifier None Typical Low $154.88 Median $891.25 Typical High $1,513.56 | Facility | None | $154.88 | $891.25 | $1,513.56 |
United Setting Professional Modifier None Typical Low $28.84 Median $117.49 Typical High $229.09 | Professional | None | $28.84 | $117.49 | $229.09 |
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 $24.55 Median $38.02 Typical High $107.15 | Professional | 54 · Surgery only | $24.55 | $38.02 | $107.15 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | GC · Resident with teaching physician | $25.70 | $25.70 | $25.70 |
Where Oklahoma sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 11th of 51
$162
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.