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 $97.72 Median $1,445.44 Typical High $6,606.93 | Facility | None | $97.72 | $1,445.44 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $97.72 Typical High $100.00 | Professional | None | $44.67 | $97.72 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $52.48 | Professional | None | $37.15 | $46.77 | $52.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,884.03 | Facility | None | $1,148.15 | $1,862.09 | $2,884.03 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $144.54 | Professional | None | $60.26 | $104.71 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $467.74 | Facility | None | $93.33 | $112.20 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $134.90 | Professional | None | $63.10 | $112.20 | $134.90 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $1,174.90 | Facility | None | $70.79 | $162.18 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $812.83 Typical High $1,023.29 | Professional | None | $95.50 | $812.83 | $1,023.29 |
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 $44.67 Median $85.11 Typical High $131.83 | Professional | None | $44.67 | $85.11 | $131.83 |
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 $22.39 Median $22.91 Typical High $50.12 | Professional | 52 · Reduced service | $22.39 | $22.91 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.12 Typical High $19.95 | Professional | 53 · Discontinued | $8.91 | $9.12 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $33.88 Typical High $74.13 | Professional | 54 · Surgery only | $33.11 | $33.88 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.76 Typical High $14.79 | Professional | 55 · Aftercare only | $6.61 | $6.76 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.57 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.47 | $4.57 | $10.00 |
Where Oklahoma sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 17th of 51
$123
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.