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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $354.81 Median $478.63 Typical High $660.69 | Professional | None | $354.81 | $478.63 | $660.69 |
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 $398.11 Median $446.68 Typical High $575.44 | Professional | None | $398.11 | $446.68 | $575.44 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $524.81 Typical High $2,754.23 | Facility | None | $100.00 | $524.81 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $2,630.27 | Professional | None | $323.59 | $426.58 | $2,630.27 |
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 $309.03 Median $380.19 Typical High $524.81 | Professional | None | $309.03 | $380.19 | $524.81 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 54 · Surgery only | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Where Oklahoma sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 28th of 51
$479
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.