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 $61.66 Median $1,071.52 Typical High $6,606.93 | Facility | None | $61.66 | $1,071.52 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $67.61 | Professional | None | $38.02 | $66.07 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $63.10 | Professional | None | $33.88 | $36.31 | $63.10 |
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 $40.74 Median $74.13 Typical High $100.00 | Professional | None | $40.74 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $467.74 | Facility | None | $56.23 | $66.07 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $104.71 | Professional | None | $51.29 | $89.13 | $104.71 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $186.21 Typical High $2,691.53 | Facility | None | $63.10 | $186.21 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $724.44 Typical High $1,348.96 | Professional | None | $70.79 | $724.44 | $1,348.96 |
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 $38.02 Median $67.61 Typical High $112.20 | Professional | None | $38.02 | $67.61 | $112.20 |
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 $19.95 Typical High $33.88 | Professional | 52 · Reduced service | $19.05 | $19.95 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $13.49 | Professional | 53 · Discontinued | $7.59 | $7.94 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $29.51 Typical High $50.12 | Professional | 54 · Surgery only | $28.18 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.03 Typical High $10.00 | Professional | 55 · Aftercare only | $5.62 | $6.03 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.98 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.80 | $3.98 | $6.76 |
Where Oklahoma sits
The same service costs 3.5 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· 18th of 51
$89.13
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.