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 $741.31 Median $2,511.89 Typical High $7,585.78 | Facility | None | $741.31 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $741.31 | Professional | None | $645.65 | $707.95 | $741.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $954.99 Median $6,025.60 Typical High $10,471.29 | Facility | None | $954.99 | $6,025.60 | $10,471.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $891.25 | Professional | None | $562.34 | $776.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $602.56 Typical High $724.44 | Facility | None | $407.38 | $602.56 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $851.14 | Professional | None | $645.65 | $741.31 | $851.14 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $4,073.80 | Facility | None | $537.03 | $933.25 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $4,466.84 Typical High $5,128.61 | Professional | None | $588.84 | $4,466.84 | $5,128.61 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,630.78 | Facility | None | $467.74 | $1,995.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $812.83 | Professional | None | $501.19 | $616.60 | $812.83 |
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 $323.59 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | 53 · Discontinued | $128.82 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $478.63 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $97.72 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $64.57 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $467.74 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $446.68 | $467.74 | $524.81 |
Where Oklahoma sits
The same service costs 5.5 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
$776
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.