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 $117.49 Median $2,454.71 Typical High $7,585.78 | Facility | None | $117.49 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $100.00 | Professional | None | $70.79 | $97.72 | $100.00 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,949.84 | Facility | None | $758.58 | $1,258.93 | $1,949.84 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $147.91 | Professional | None | $70.79 | $104.71 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $467.74 | Facility | None | $47.86 | $57.54 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $128.82 | Professional | None | $75.86 | $102.33 | $128.82 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $1,659.59 | Facility | None | $89.13 | $112.20 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $467.74 Typical High $1,949.84 | Professional | None | $87.10 | $467.74 | $1,949.84 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $128.82 | Professional | None | $58.88 | $87.10 | $128.82 |
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 $35.48 Median $36.31 Typical High $50.12 | Professional | 52 · Reduced service | $35.48 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.45 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 54 · Surgery only | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.24 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.08 | $7.24 | $10.00 |
Where Oklahoma sits
The same service costs 3.5 times more in Wisconsin 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· 9th of 51
$138
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.