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 $51.29 Median $56.23 Typical High $57.54 | Professional | None | $51.29 | $56.23 | $57.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $263.03 | Facility | None | $70.79 | $154.88 | $263.03 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $67.61 | Professional | None | $44.67 | $61.66 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $467.74 | Facility | None | $26.30 | $31.62 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $100.00 | Professional | None | $52.48 | $57.54 | $100.00 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $138.04 Typical High $1,174.90 | Facility | None | $56.23 | $138.04 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $380.19 Typical High $426.58 | Professional | None | $58.88 | $380.19 | $426.58 |
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 $51.29 Median $64.57 Typical High $97.72 | Professional | None | $51.29 | $64.57 | $97.72 |
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 $25.70 Median $26.30 Typical High $28.84 | Professional | 52 · Reduced service | $25.70 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $10.23 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 54 · Surgery only | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $5.75 |
Where Oklahoma sits
The same service costs 3.6 times more in Wyoming 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· 41st of 51
$67.61
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.