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 $27.54 Median $102.33 Typical High $104.71 | Professional | None | $27.54 | $102.33 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $10,000.00 | Facility | None | $3,890.45 | $6,456.54 | $10,000.00 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $37.15 Median $117.49 Typical High $165.96 | Professional | None | $37.15 | $117.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $575.44 | Facility | None | $97.72 | $117.49 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $151.36 | Professional | None | $37.15 | $69.18 | $151.36 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $162.18 Typical High $1,479.11 | Facility | None | $41.69 | $162.18 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $870.96 | Professional | None | $112.20 | $218.78 | $870.96 |
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 $27.54 Median $85.11 Typical High $169.82 | Professional | None | $27.54 | $85.11 | $169.82 |
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 $20.42 Median $21.38 Typical High $77.62 | Professional | 54 · Surgery only | $20.42 | $21.38 | $77.62 |
Where Oklahoma sits
The same service costs 5.1 times more in Iowa 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· 15th of 51
$135
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.