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 $398.11 Median $1,778.28 Typical High $6,760.83 | Facility | None | $398.11 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $562.34 | Professional | None | $288.40 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $524.81 | Professional | None | $269.15 | $269.15 | $524.81 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $10,232.93 | Facility | None | $3,981.07 | $6,606.93 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $512.86 | Professional | None | $338.84 | $467.74 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,511.89 Typical High $2,884.03 | Facility | None | $512.86 | $2,511.89 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $549.54 | Professional | None | $323.59 | $457.09 | $549.54 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $602.56 Typical High $3,388.44 | Facility | None | $302.00 | $602.56 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $4,897.79 | Professional | None | $371.54 | $575.44 | $4,897.79 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,318.26 Typical High $2,511.89 | Facility | None | $269.15 | $1,318.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $575.44 | Professional | None | $263.03 | $398.11 | $575.44 |
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 $144.54 Median $165.96 Typical High $199.53 | Professional | 52 · Reduced service | $144.54 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $66.07 Typical High $79.43 | Professional | 53 · Discontinued | $57.54 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $218.78 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $50.12 Typical High $60.26 | Professional | 55 · Aftercare only | $43.65 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.11 Typical High $39.81 | Professional | 56 · Pre-op care only | $28.84 | $33.11 | $39.81 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska than in New York. 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· 22nd of 51
$501
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.