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 $181.97 Median $1,778.28 Typical High $6,760.83 | Facility | None | $181.97 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $194.98 | Professional | None | $117.49 | $158.49 | $194.98 |
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 $128.82 Median $169.82 Typical High $234.42 | Professional | None | $128.82 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $724.44 | Facility | None | $100.00 | $123.03 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $229.09 | Professional | None | $162.18 | $194.98 | $229.09 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $549.54 Typical High $2,691.53 | Facility | None | $125.89 | $549.54 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $1,348.96 | Professional | None | $158.49 | $309.03 | $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 $120.23 Median $165.96 Typical High $234.42 | Professional | None | $120.23 | $165.96 | $234.42 |
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 $58.88 Median $60.26 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $91.20 Typical High $120.23 | Professional | 54 · Surgery only | $89.13 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $18.20 Typical High $23.99 | Professional | 55 · Aftercare only | $17.78 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $16.22 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $16.22 |
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· 20th of 51
$219
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.