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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $28.84 | Professional | None | $22.39 | $28.18 | $28.84 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $41.69 | Professional | None | $23.99 | $33.11 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $630.96 | Facility | None | $16.60 | $19.95 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $42.66 | Professional | None | $30.20 | $38.90 | $42.66 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $1,174.90 | Facility | None | $29.51 | $58.88 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $186.21 Typical High $831.76 | Professional | None | $30.20 | $186.21 | $831.76 |
United Setting Facility Modifier None Typical Low $89.13 Median $616.60 Typical High $1,380.38 | Facility | None | $89.13 | $616.60 | $1,380.38 |
United Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $44.67 | Professional | None | $21.38 | $28.84 | $44.67 |
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 $11.22 Median $11.75 Typical High $14.45 | Professional | 52 · Reduced service | $11.22 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $4.47 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $17.38 Typical High $21.38 | Professional | 54 · Surgery only | $16.98 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.47 Typical High $4.27 | Professional | 55 · Aftercare only | $3.39 | $3.47 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.34 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.24 | $2.34 | $2.88 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 37th of 51
$36.31
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.