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 $87.10 Median $1,445.44 Typical High $6,760.83 | Facility | None | $87.10 | $1,445.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $87.10 | Professional | None | $53.70 | $85.11 | $87.10 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,677.35 | Facility | None | $660.69 | $2,818.38 | $4,677.35 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $128.82 | Professional | None | $61.66 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $1,258.93 | Facility | None | $354.81 | $467.74 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $120.23 | Professional | None | $74.13 | $102.33 | $120.23 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $134.90 Typical High $1,479.11 | Facility | None | $75.86 | $134.90 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $2,511.89 | Professional | None | $85.11 | $177.83 | $2,511.89 |
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 $53.70 Median $79.43 Typical High $134.90 | Professional | None | $53.70 | $79.43 | $134.90 |
1 more rate 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 54 · Surgery only Typical Low $40.74 Median $43.65 Typical High $64.57 | Professional | 54 · Surgery only | $40.74 | $43.65 | $64.57 |
Where Oklahoma sits
The same service costs 3.6 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
$115
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.