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 $1,445.44 Median $4,570.88 Typical High $13,182.57 | Facility | None | $1,445.44 | $4,570.88 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $5,370.32 Typical High $5,888.44 | Professional | None | $4,677.35 | $5,370.32 | $5,888.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $4,786.30 Median $6,606.93 Typical High $9,120.11 | Professional | None | $4,786.30 | $6,606.93 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,258.93 | Facility | None | $549.54 | $891.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $5,888.44 Typical High $6,918.31 | Professional | None | $4,897.79 | $5,888.44 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $4,677.35 Typical High $6,918.31 | Facility | None | $398.11 | $4,677.35 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $4,466.84 Median $5,754.40 Typical High $35,481.34 | Professional | None | $4,466.84 | $5,754.40 | $35,481.34 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $6,025.60 | Facility | None | $426.58 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $7,585.78 | Professional | None | $4,168.69 | $5,248.07 | $7,585.78 |
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 $2,344.23 Median $2,630.27 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,344.23 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $933.25 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $3,981.07 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,467.37 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $707.95 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $3,715.35 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $3,235.94 | $3,715.35 | $3,715.35 |
Where Oklahoma sits
The same service costs 20.0 times more in Alaska than in Texas. 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
$5,754
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.