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 $102.33 Typical High $102.33 | Facility | None | $67.61 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $74.13 | Professional | None | $56.23 | $63.10 | $74.13 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,621.81 | Facility | None | $630.96 | $1,023.29 | $1,621.81 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $97.72 | Professional | None | $70.79 | $93.33 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $102.33 | Professional | None | $74.13 | $81.28 | $102.33 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $309.03 | Facility | None | $70.79 | $102.33 | $309.03 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $851.14 | Professional | None | $64.57 | $85.11 | $851.14 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,096.48 Typical High $1,778.28 | Facility | None | $302.00 | $1,096.48 | $1,778.28 |
United Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $114.82 | Professional | None | $60.26 | $75.86 | $114.82 |
4 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 $33.11 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.23 Typical High $10.72 | Professional | 55 · Aftercare only | $10.00 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.76 | $6.92 | $7.08 |
Where Oklahoma sits
The same service costs 3.2 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· 26th of 51
$81.28
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.