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 $1,348.96 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $3,890.45 | Professional | None | $537.03 | $537.03 | $3,890.45 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,659.59 Median $7,762.47 Typical High $13,489.63 | Facility | None | $1,659.59 | $7,762.47 | $13,489.63 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $660.69 | Professional | None | $478.63 | $645.65 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,905.46 Typical High $2,344.23 | Facility | None | $870.96 | $1,905.46 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Professional | None | $478.63 | $562.34 | $741.31 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $8,709.64 | Facility | None | $660.69 | $1,584.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $6,918.31 | Professional | None | $436.52 | $537.03 | $6,918.31 |
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 $416.87 Median $501.19 Typical High $645.65 | Professional | None | $416.87 | $501.19 | $645.65 |
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 $269.15 Median $269.15 Typical High $275.42 | Professional | 52 · Reduced service | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Where Oklahoma sits
The same service costs 7.9 times more in Wyoming 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· 19th of 51
$832
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.