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 $67.61 Median $3,890.45 Typical High $18,620.87 | Facility | None | $67.61 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $67.61 | Professional | None | $52.48 | $63.10 | $67.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | None | $45.71 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $100.00 | Facility | None | $33.88 | $40.74 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $93.33 | Professional | None | $54.95 | $70.79 | $93.33 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $1,174.90 | Facility | None | $64.57 | $93.33 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $436.52 Typical High $1,862.09 | Professional | None | $54.95 | $436.52 | $1,862.09 |
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 $42.66 Median $54.95 Typical High $75.86 | Professional | None | $42.66 | $54.95 | $75.86 |
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 $26.30 Median $26.92 Typical High $33.88 | Professional | 52 · Reduced service | $26.30 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $13.49 | Professional | 53 · Discontinued | $10.47 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $39.81 Typical High $51.29 | Professional | 54 · Surgery only | $38.90 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.94 Typical High $10.23 | Professional | 55 · Aftercare only | $7.76 | $7.94 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.37 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.25 | $5.37 | $6.76 |
Where Oklahoma sits
The same service costs 3.7 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· 32nd of 51
$70.79
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.