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 $630.96 Median $630.96 Typical High $812.83 | Facility | None | $630.96 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,096.48 | Professional | None | $630.96 | $812.83 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,380.38 | Professional | None | $891.25 | $977.24 | $1,380.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,348.96 | Professional | None | $776.25 | $1,047.13 | $1,348.96 |
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 $776.25 Median $1,000.00 Typical High $1,258.93 | Professional | None | $776.25 | $1,000.00 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $977.24 Typical High $5,370.32 | Facility | None | $457.09 | $977.24 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $5,754.40 Typical High $7,413.10 | Professional | None | $794.33 | $5,754.40 | $7,413.10 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,778.28 Typical High $6,025.60 | Facility | None | $426.58 | $1,778.28 | $6,025.60 |
United Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,148.15 | Professional | None | $575.44 | $794.33 | $1,148.15 |
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 $316.23 Median $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $316.23 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $83.18 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $83.18 |
Where Oklahoma sits
The same service costs 3.2 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· 20th of 51
$1,047
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.