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 $38.90 Median $70.79 Typical High $72.44 | Professional | None | $38.90 | $70.79 | $72.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $102.33 | Professional | None | $41.69 | $57.54 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $467.74 | Facility | None | $47.86 | $57.54 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $141.25 | Professional | None | $53.70 | $95.50 | $141.25 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $2,398.83 | Facility | None | $70.79 | $186.21 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $154.88 Typical High $1,023.29 | Professional | None | $64.57 | $154.88 | $1,023.29 |
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 $38.90 Median $70.79 Typical High $144.54 | Professional | None | $38.90 | $70.79 | $144.54 |
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 $19.05 Median $20.42 Typical High $36.31 | Professional | 52 · Reduced service | $19.05 | $20.42 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $14.45 | Professional | 53 · Discontinued | $7.76 | $8.13 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $30.20 Typical High $53.70 | Professional | 54 · Surgery only | $28.84 | $30.20 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.03 Typical High $10.72 | Professional | 55 · Aftercare only | $5.75 | $6.03 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.07 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.89 | $4.07 | $7.24 |
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· 27th of 51
$95.50
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.