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 $1,023.29 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,023.29 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $8,912.51 Median $14,791.08 Typical High $22,908.68 | Facility | None | $8,912.51 | $14,791.08 | $22,908.68 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,513.56 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $1,258.93 | Facility | None | $512.86 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,445.44 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $8,128.31 | Facility | None | $1,148.15 | $1,737.80 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $8,709.64 | Professional | None | $1,047.13 | $1,445.44 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,890.45 Typical High $8,511.38 | Facility | None | $1,202.26 | $3,890.45 | $8,511.38 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,659.59 | Professional | None | $977.24 | $1,230.27 | $1,659.59 |
6 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 $524.81 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $741.31 |
Where Oklahoma sits
The same service costs 6.2 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· 29th of 51
$1,514
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.