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 $83.18 Median $3,890.45 Typical High $18,620.87 | Facility | None | $83.18 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $83.18 | Professional | None | $69.18 | $79.43 | $83.18 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $97.72 | Professional | None | $60.26 | $81.28 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $100.00 | Facility | None | $38.90 | $46.77 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $102.33 | Professional | None | $74.13 | $87.10 | $102.33 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $1,174.90 | Facility | None | $75.86 | $112.20 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $478.63 Typical High $575.44 | Professional | None | $67.61 | $478.63 | $575.44 |
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 $53.70 Median $70.79 Typical High $95.50 | Professional | None | $53.70 | $70.79 | $95.50 |
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 $34.67 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.13 Typical High $16.60 | Professional | 53 · Discontinued | $13.80 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $52.48 Typical High $63.10 | Professional | 54 · Surgery only | $51.29 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.08 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.92 | $7.08 | $8.32 |
Where Oklahoma sits
The same service costs 3.8 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· 33rd of 51
$83.18
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.