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 $125.89 Median $3,890.45 Typical High $18,620.87 | Facility | None | $125.89 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None | $109.65 | $109.65 | $125.89 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $12.59 Median $23.44 Typical High $275.42 | Facility | None | $12.59 | $23.44 | $275.42 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $151.36 | Professional | None | $95.50 | $131.83 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $169.82 | Professional | None | $114.82 | $128.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $1,174.90 | Facility | None | $93.33 | $162.18 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $812.83 Typical High $2,187.76 | Professional | None | $100.00 | $812.83 | $2,187.76 |
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 $87.10 Median $107.15 Typical High $138.04 | Professional | None | $87.10 | $107.15 | $138.04 |
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 $54.95 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $85.11 Typical High $93.33 | Professional | 54 · Surgery only | $81.28 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.98 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.22 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $11.22 | $12.59 |
Where Oklahoma sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 33rd of 51
$129
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.