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 $208.93 Median $1,778.28 Typical High $6,760.83 | Facility | None | $208.93 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $229.09 | Professional | None | $138.04 | $173.78 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
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 $181.97 Median $234.42 Typical High $288.40 | Professional | None | $181.97 | $234.42 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $575.44 | Facility | None | $173.78 | $204.17 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $281.84 | Professional | None | $147.91 | $199.53 | $281.84 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $269.15 Typical High $1,479.11 | Facility | None | $93.33 | $269.15 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $1,148.15 Typical High $1,737.80 | Professional | None | $186.21 | $1,148.15 | $1,737.80 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $316.23 | Professional | None | $125.89 | $186.21 | $316.23 |
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 $114.82 Median $131.83 Typical High $173.78 | Professional | 54 · Surgery only | $114.82 | $131.83 | $173.78 |
Where Oklahoma sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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· 17th of 51
$269
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.