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 $123.03 Median $3,890.45 Typical High $18,620.87 | Facility | None | $123.03 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $144.54 | Professional | None | $102.33 | $123.03 | $144.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $204.17 | Professional | None | $125.89 | $169.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $104.71 | Facility | None | $61.66 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $223.87 | Professional | None | $134.90 | $162.18 | $223.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $218.78 Typical High $2,398.83 | Facility | None | $125.89 | $218.78 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $933.25 Typical High $3,019.95 | Professional | None | $154.88 | $933.25 | $3,019.95 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,454.71 | Facility | None | $269.15 | $1,258.93 | $2,454.71 |
United Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $218.78 | Professional | None | $123.03 | $162.18 | $218.78 |
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 $51.29 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $20.42 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $79.43 Typical High $95.50 | Professional | 54 · Surgery only | $77.62 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $15.49 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.72 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.23 | $10.72 | $12.59 |
Where Oklahoma sits
The same service costs 2.9 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· 25th of 51
$191
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.