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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $302.00 | Professional | None | $223.87 | $281.84 | $302.00 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,238.72 | Facility | None | $870.96 | $1,445.44 | $2,238.72 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $363.08 | Professional | None | $199.53 | $275.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $467.74 | Facility | None | $169.82 | $199.53 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $354.81 | Professional | None | $234.42 | $316.23 | $354.81 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $2,398.83 | Facility | None | $239.88 | $407.38 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $1,548.82 Typical High $2,041.74 | Professional | None | $257.04 | $1,548.82 | $2,041.74 |
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 $186.21 Median $245.47 Typical High $346.74 | Professional | None | $186.21 | $245.47 | $346.74 |
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 $112.20 Median $114.82 Typical High $147.91 | Professional | 52 · Reduced service | $112.20 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $45.71 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $173.78 Typical High $223.87 | Professional | 54 · Surgery only | $169.82 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $34.67 Typical High $44.67 | Professional | 55 · Aftercare only | $33.88 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $29.51 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $29.51 |
Where Oklahoma sits
The same service costs 3.5 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· 26th of 51
$324
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.