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 $95.50 Median $107.15 Typical High $112.20 | Professional | None | $95.50 | $107.15 | $112.20 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,951.21 | Facility | None | $1,148.15 | $1,905.46 | $2,951.21 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $162.18 | Professional | None | $112.20 | $138.04 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $147.91 | Facility | None | $75.86 | $104.71 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $158.49 | Professional | None | $117.49 | $134.90 | $158.49 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $1,479.11 | Facility | None | $91.20 | $151.36 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $954.99 | Professional | None | $107.15 | $199.53 | $954.99 |
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 $87.10 Median $117.49 Typical High $158.49 | Professional | None | $87.10 | $117.49 | $158.49 |
2 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 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | 54 · Surgery only | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $67.61 | $67.61 | $79.43 |
Where Oklahoma sits
The same service costs 4.5 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· 26th of 51
$148
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.