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 $30.20 Median $31.62 Typical High $32.36 | Professional | None | $30.20 | $31.62 | $32.36 |
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 $26.30 Median $35.48 Typical High $38.02 | Professional | None | $26.30 | $35.48 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $1,258.93 | Facility | None | $354.81 | $467.74 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $38.90 | Professional | None | $30.20 | $33.11 | $38.90 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $1,174.90 | Facility | None | $36.31 | $43.65 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $512.86 Typical High $794.33 | Professional | None | $26.30 | $512.86 | $794.33 |
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 $23.44 Median $28.84 Typical High $37.15 | Professional | None | $23.44 | $28.84 | $37.15 |
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 $15.14 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $15.14 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $22.91 Typical High $23.99 | Professional | 54 · Surgery only | $22.39 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.57 Typical High $4.79 | Professional | 55 · Aftercare only | $4.47 | $4.57 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.24 |
Where Oklahoma sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 29th of 51
$36.31
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.