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 $91.20 Median $3,801.89 Typical High $18,620.87 | Facility | None | $91.20 | $3,801.89 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $91.20 Typical High $91.20 | Professional | None | $44.67 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $5,011.87 | Facility | None | $1,949.84 | $3,235.94 | $5,011.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $128.82 | Professional | None | $56.23 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $467.74 | Facility | None | $66.07 | $79.43 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $144.54 | Professional | None | $52.48 | $97.72 | $144.54 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $1,174.90 | Facility | None | $64.57 | $138.04 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $512.86 Typical High $707.95 | Professional | None | $97.72 | $512.86 | $707.95 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $141.25 | Professional | None | $43.65 | $81.28 | $141.25 |
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 $22.39 Median $22.39 Typical High $45.71 | Professional | 52 · Reduced service | $22.39 | $22.39 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $18.20 | Professional | 53 · Discontinued | $8.91 | $8.91 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $33.88 Typical High $69.18 | Professional | 54 · Surgery only | $33.11 | $33.88 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.76 Typical High $13.80 | Professional | 55 · Aftercare only | $6.61 | $6.76 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $9.12 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 11th of 51
$123
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.