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 $134.90 Median $263.03 Typical High $295.12 | Professional | None | $134.90 | $263.03 | $295.12 |
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 $154.88 Median $316.23 Typical High $446.68 | Professional | None | $154.88 | $316.23 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $426.58 | Professional | None | $177.83 | $288.40 | $426.58 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $436.52 Typical High $1,548.82 | Facility | None | $190.55 | $436.52 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $1,174.90 Typical High $2,344.23 | Professional | None | $323.59 | $1,174.90 | $2,344.23 |
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 $147.91 Median $275.42 Typical High $426.58 | Professional | None | $147.91 | $275.42 | $426.58 |
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 $66.07 Median $128.82 Typical High $144.54 | Professional | 52 · Reduced service | $66.07 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $100.00 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $38.90 Typical High $43.65 | Professional | 55 · Aftercare only | $19.95 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $13.49 | $25.70 | $29.51 |
Where Oklahoma sits
The same service costs 3.5 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· 13th of 51
$363
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.