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 $1,000.00 Median $3,981.07 Typical High $12,589.25 | Facility | None | $1,000.00 | $3,981.07 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $512.86 | Professional | None | $331.13 | $512.86 | $512.86 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $4,365.16 | Facility | None | $537.03 | $2,511.89 | $4,365.16 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $630.96 | Professional | None | $288.40 | $457.09 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $1,445.44 | Facility | None | $630.96 | $1,202.26 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $512.86 | Professional | None | $338.84 | $380.19 | $512.86 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $5,888.44 | Facility | None | $389.05 | $645.65 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $2,344.23 Typical High $3,548.13 | Professional | None | $363.08 | $2,344.23 | $3,548.13 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,165.95 | Facility | None | $933.25 | $2,951.21 | $6,165.95 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $524.81 | Professional | None | $251.19 | $363.08 | $524.81 |
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 $165.96 Median $173.78 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $69.18 Typical High $104.71 | Professional | 53 · Discontinued | $66.07 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $257.04 Typical High $389.05 | Professional | 54 · Surgery only | $245.47 | $257.04 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $77.62 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.11 | $34.67 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $229.09 | $239.88 | $363.08 |
Where Oklahoma sits
The same service costs 5.9 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· 23rd of 51
$525
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.