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 $1,445.44 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,445.44 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,890.45 | Professional | None | $1,445.44 | $1,445.44 | $3,890.45 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,698.24 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,454.71 Typical High $2,951.21 | Facility | None | $870.96 | $2,454.71 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,479.11 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $8,709.64 | Facility | None | $1,288.25 | $1,698.24 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $10,471.29 | Professional | None | $1,071.52 | $1,348.96 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $9,120.11 | Facility | None | $1,230.27 | $4,073.80 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,230.27 | $1,621.81 |
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 $724.44 Median $724.44 Typical High $741.31 | Professional | 52 · Reduced service | $724.44 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Where Oklahoma sits
The same service costs 7.1 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· 32nd of 51
$1,549
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.