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 $1,202.26 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,288.25 | $1,288.25 |
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 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,466.84 Typical High $5,248.07 | Facility | None | $630.96 | $4,466.84 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,737.80 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $10,715.19 | Facility | None | $1,548.82 | $2,290.87 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $10,964.78 | Professional | None | $1,258.93 | $1,659.59 | $10,964.78 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,479.11 | $1,949.84 |
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 $630.96 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $630.96 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $125.89 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Where Oklahoma sits
The same service costs 24.5 times more in Alaska than in Texas. 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· 27th of 51
$1,905
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.