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 $346.74 Median $346.74 Typical High $436.52 | Facility | None | $346.74 | $346.74 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $602.56 | Professional | None | $346.74 | $436.52 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $645.65 | Professional | None | $489.78 | $501.19 | $645.65 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $724.44 | Professional | None | $416.87 | $562.34 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $691.83 | Professional | None | $436.52 | $549.54 | $691.83 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $5,370.32 | Facility | None | $354.81 | $630.96 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $3,090.30 Typical High $4,073.80 | Professional | None | $446.68 | $3,090.30 | $4,073.80 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,778.28 Typical High $6,025.60 | Facility | None | $346.74 | $1,778.28 | $6,025.60 |
United Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $645.65 | Professional | None | $323.59 | $446.68 | $645.65 |
3 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 $173.78 Median $177.83 Typical High $229.09 | Professional | 52 · Reduced service | $173.78 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $35.48 Typical High $45.71 | Professional | 56 · Pre-op care only | $34.67 | $35.48 | $45.71 |
Where Oklahoma sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 24th of 51
$562
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.