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 $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $323.59 | Professional | None | $144.54 | $316.23 | $323.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,513.56 | Facility | None | $812.83 | $1,071.52 | $1,513.56 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $478.63 | Professional | None | $173.78 | $346.74 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Professional | None | $194.98 | $288.40 | $446.68 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $1,548.82 | Facility | None | $199.53 | $467.74 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,288.25 Typical High $2,570.40 | Professional | None | $346.74 | $1,288.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $165.96 Median $891.25 Typical High $1,548.82 | Facility | None | $165.96 | $891.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $457.09 | Professional | None | $154.88 | $288.40 | $457.09 |
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 $72.44 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $72.44 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $28.84 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $194.98 Typical High $239.88 | Professional | 54 · Surgery only | $107.15 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $38.90 Typical High $47.86 | Professional | 55 · Aftercare only | $21.38 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $26.30 Typical High $32.36 | Professional | 56 · Pre-op care only | $14.45 | $26.30 | $32.36 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 18th of 51
$372
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.