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 $48.98 Median $97.72 Typical High $100.00 | Professional | None | $48.98 | $97.72 | $100.00 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $2,818.38 | Facility | None | $426.58 | $1,621.81 | $2,818.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $173.78 | Professional | None | $67.61 | $112.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $467.74 | Facility | None | $89.13 | $104.71 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $158.49 | Professional | None | $67.61 | $128.82 | $158.49 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $2,398.83 | Facility | None | $97.72 | $190.55 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $1,380.38 | Professional | None | $97.72 | $144.54 | $1,380.38 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $2,454.71 | Facility | None | $269.15 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $147.91 | Professional | None | $48.98 | $97.72 | $147.91 |
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 $24.55 Median $26.30 Typical High $48.98 | Professional | 52 · Reduced service | $24.55 | $26.30 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $19.95 | Professional | 53 · Discontinued | $9.77 | $10.47 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $38.90 Typical High $74.13 | Professional | 54 · Surgery only | $37.15 | $38.90 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $14.79 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.25 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.90 | $5.25 | $10.00 |
Where Oklahoma sits
The same service costs 3.2 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· 22nd of 51
$132
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.