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 $104.71 Median $3,890.45 Typical High $18,620.87 | Facility | None | $104.71 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $104.71 | Professional | None | $83.18 | $102.33 | $104.71 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $29.51 Median $147.91 Typical High $281.84 | Facility | None | $29.51 | $147.91 | $281.84 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $123.03 | Professional | None | $72.44 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | None | $89.13 | $104.71 | $147.91 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $169.82 Typical High $1,174.90 | Facility | None | $85.11 | $169.82 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $588.84 Typical High $1,047.13 | Professional | None | $85.11 | $588.84 | $1,047.13 |
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 $67.61 Median $89.13 Typical High $128.82 | Professional | None | $67.61 | $89.13 | $128.82 |
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 $41.69 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | 54 · Surgery only | $63.10 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.18 Typical High $15.49 | Professional | 55 · Aftercare only | $12.59 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.71 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.32 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $58.88 | $60.26 | $72.44 |
Where Oklahoma sits
The same service costs 4.2 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· 38th of 51
$105
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.