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 $64.57 Median $1,995.26 Typical High $6,760.83 | Facility | None | $64.57 | $1,995.26 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $239.88 | Professional | None | $48.98 | $69.18 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $57.54 | Professional | None | $21.38 | $21.38 | $57.54 |
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 $45.71 Median $204.17 Typical High $281.84 | Professional | None | $45.71 | $204.17 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $263.03 | Professional | None | $57.54 | $85.11 | $263.03 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $245.47 Typical High $1,548.82 | Facility | None | $61.66 | $245.47 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $776.25 Typical High $2,089.30 | Professional | None | $199.53 | $776.25 | $2,089.30 |
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 $41.69 Median $138.04 Typical High $281.84 | Professional | None | $41.69 | $138.04 | $281.84 |
4 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 $24.55 Median $38.90 Typical High $120.23 | Professional | 52 · Reduced service | $24.55 | $38.90 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $15.49 Typical High $47.86 | Professional | 53 · Discontinued | $10.00 | $15.49 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $11.75 Typical High $36.31 | Professional | 55 · Aftercare only | $7.41 | $11.75 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.76 Typical High $23.99 | Professional | 56 · Pre-op care only | $4.90 | $7.76 | $23.99 |
Where Oklahoma sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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· 7th of 51
$234
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.