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 $2,511.89 Typical High $7,585.78 | Facility | None | $758.58 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $831.76 Typical High $2,570.40 | Professional | None | $181.97 | $831.76 | $2,570.40 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,801.89 Median $6,309.57 Typical High $9,772.37 | Facility | None | $3,801.89 | $6,309.57 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $707.95 Typical High $1,023.29 | Facility | None | $407.38 | $707.95 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $1,071.52 | Professional | None | $208.93 | $331.13 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $1,000.00 Typical High $5,495.41 | Facility | None | $245.47 | $1,000.00 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $2,754.23 Typical High $5,495.41 | Professional | None | $758.58 | $2,754.23 | $5,495.41 |
United Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $6,025.60 | Facility | None | $912.01 | $2,951.21 | $6,025.60 |
United Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $1,096.48 | Professional | None | $162.18 | $407.38 | $1,096.48 |
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 $134.90 Median $138.04 Typical High $645.65 | Professional | 54 · Surgery only | $134.90 | $138.04 | $645.65 |
Where Oklahoma sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 3rd of 51
$1,230
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.