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 $794.33 Median $2,951.21 Typical High $8,317.64 | Facility | None | $794.33 | $2,951.21 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $151.36 | Professional | None | $91.20 | $128.82 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $933.25 Median $1,548.82 Typical High $2,398.83 | Facility | None | $933.25 | $1,548.82 | $2,398.83 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $162.18 | Professional | None | $91.20 | $120.23 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $467.74 | Facility | None | $70.79 | $83.18 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $162.18 | Professional | None | $109.65 | $134.90 | $162.18 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $1,174.90 | Facility | None | $89.13 | $151.36 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $676.08 Typical High $933.25 | Professional | None | $104.71 | $676.08 | $933.25 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $169.82 | Professional | None | $85.11 | $114.82 | $169.82 |
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 $45.71 Median $46.77 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $18.62 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | 54 · Surgery only | $69.18 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.33 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.12 | $9.33 | $12.88 |
Where Oklahoma sits
The same service costs 3.7 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· 22nd of 51
$151
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.