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 $1,000.00 Median $4,897.79 Typical High $14,125.38 | Facility | None | $1,000.00 | $4,897.79 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | None | $295.12 | $316.23 | $316.23 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,137.96 | Facility | None | $269.15 | $1,258.93 | $2,137.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $380.19 | Professional | None | $257.04 | $346.74 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $467.74 | Facility | None | $186.21 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $831.76 | Professional | None | $309.03 | $331.13 | $831.76 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $912.01 Typical High $2,691.53 | Facility | None | $302.00 | $912.01 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $3,235.94 Typical High $4,466.84 | Professional | None | $275.42 | $3,235.94 | $4,466.84 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $2,454.71 | Facility | None | $269.15 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $645.65 | Professional | None | $239.88 | $302.00 | $645.65 |
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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $58.88 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $223.87 Typical High $239.88 | Professional | 54 · Surgery only | $218.78 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $44.67 Typical High $47.86 | Professional | 55 · Aftercare only | $43.65 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $208.93 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $204.17 | $208.93 | $223.87 |
Where Oklahoma sits
The same service costs 5.0 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· 42nd of 51
$355
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.