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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $134.90 | Professional | None | $77.62 | $107.15 | $134.90 |
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 $66.07 Median $109.65 Typical High $147.91 | Professional | None | $66.07 | $109.65 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $154.88 | Professional | None | $89.13 | $112.20 | $154.88 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $1,548.82 | Facility | None | $97.72 | $131.83 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $1,071.52 Typical High $3,548.13 | Professional | None | $107.15 | $1,071.52 | $3,548.13 |
United Setting Facility Modifier None Typical Low $165.96 Median $891.25 Typical High $1,548.82 | Facility | None | $165.96 | $891.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $158.49 | Professional | None | $66.07 | $97.72 | $158.49 |
5 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 $38.90 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $38.90 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $15.49 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $77.62 Typical High $100.00 | Professional | 54 · Surgery only | $57.54 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.49 Typical High $20.42 | Professional | 55 · Aftercare only | $11.48 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.47 Typical High $13.49 | Professional | 56 · Pre-op care only | $7.76 | $10.47 | $13.49 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 20th of 51
$132
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.