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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | None | $114.82 | $114.82 | $128.82 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,071.52 | Facility | None | $416.87 | $691.83 | $1,071.52 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $177.83 | Professional | None | $120.23 | $162.18 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $169.82 | Professional | None | $125.89 | $141.25 | $169.82 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $186.21 | Facility | None | $117.49 | $173.78 | $186.21 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $1,174.90 | Professional | None | $109.65 | $144.54 | $1,174.90 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $194.98 | Professional | None | $102.33 | $128.82 | $194.98 |
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 $57.54 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.75 Typical High $12.30 | Professional | 56 · Pre-op care only | $11.48 | $11.75 | $12.30 |
Where Oklahoma sits
The same service costs 3.2 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· 27th of 51
$141
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.