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 $1,202.26 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,202.26 | $1,230.27 | $1,230.27 |
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 $1,318.26 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,659.59 | $1,819.70 |
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 $1,445.44 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,445.44 | $1,698.24 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,548.82 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $10,715.19 | Professional | None | $1,230.27 | $1,621.81 | $10,715.19 |
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 $1,148.15 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,445.44 | $1,905.46 |
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 $602.56 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Where Oklahoma sits
The same service costs 7.2 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
$1,820
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.