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 $51.29 Median $51.29 Typical High $87.10 | Facility | None | $51.29 | $51.29 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $87.10 | Professional | None | $51.29 | $58.88 | $87.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $134.90 | Professional | None | $57.54 | $97.72 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | None | $69.18 | $69.18 | $114.82 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $131.83 | Facility | None | $75.86 | $91.20 | $131.83 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $741.31 | Professional | None | $81.28 | $107.15 | $741.31 |
United Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $95.50 | Professional | None | $30.20 | $60.26 | $95.50 |
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 $25.70 Median $33.88 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $10.23 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $10.23 Typical High $12.88 | Professional | 55 · Aftercare only | $7.76 | $10.23 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.76 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.13 | $6.76 | $8.71 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Oklahoma sits
The same service costs 3.0 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· 20th of 51
$83.18
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.