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 $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $3,162.28 | Professional | None | $537.03 | $537.03 | $3,162.28 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $5,128.61 Median $8,511.38 Typical High $13,182.57 | Facility | None | $5,128.61 | $8,511.38 | $13,182.57 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $645.65 | Professional | None | $467.74 | $630.96 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,398.83 Typical High $2,754.23 | Facility | None | $512.86 | $2,398.83 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $660.69 | Professional | None | $446.68 | $549.54 | $660.69 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $6,165.95 | Facility | None | $645.65 | $1,202.26 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $3,715.35 | Professional | None | $416.87 | $512.86 | $3,715.35 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $630.96 | Professional | None | $407.38 | $489.78 | $630.96 |
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 $263.03 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Where Oklahoma sits
The same service costs 7.9 times more in Wyoming 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
$692
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.