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 $181.97 Median $1,778.28 Typical High $6,760.83 | Facility | None | $181.97 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $245.47 | Professional | None | $107.15 | $223.87 | $245.47 |
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 $117.49 Median $245.47 Typical High $346.74 | Professional | None | $117.49 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $338.84 | Professional | None | $147.91 | $213.80 | $338.84 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $2,754.23 | Facility | None | $138.04 | $1,148.15 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $977.24 Typical High $2,454.71 | Professional | None | $257.04 | $977.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,737.80 Typical High $2,511.89 | Facility | None | $478.63 | $1,737.80 | $2,511.89 |
United Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $363.08 | Professional | None | $114.82 | $218.78 | $363.08 |
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 $53.70 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $53.70 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $21.38 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $147.91 Typical High $177.83 | Professional | 54 · Surgery only | $81.28 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $29.51 Typical High $35.48 | Professional | 55 · Aftercare only | $16.22 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $10.72 | $19.50 | $23.44 |
Where Oklahoma sits
The same service costs 3.4 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· 14th of 51
$302
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.