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 $27.54 Median $27.54 Typical High $85.11 | Facility | None | $27.54 | $27.54 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $85.11 | Professional | None | $27.54 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $30.90 Typical High $42.66 | Professional | 52 · Reduced service | $13.80 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $12.30 Typical High $16.98 | Professional | 53 · Discontinued | $5.50 | $12.30 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $9.33 Typical High $12.88 | Professional | 55 · Aftercare only | $4.17 | $9.33 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $6.17 Typical High $8.51 | Professional | 56 · Pre-op care only | $2.75 | $6.17 | $8.51 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $30.90 Median $70.79 Typical High $128.82 | Professional | None | $30.90 | $70.79 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $114.82 | Professional | None | $38.02 | $61.66 | $114.82 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $77.62 Typical High $147.91 | Facility | None | $42.66 | $77.62 | $147.91 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $645.65 | Professional | None | $74.13 | $104.71 | $645.65 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $89.13 | Professional | None | $26.30 | $34.67 | $89.13 |
1 more rate 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 |
|---|---|---|---|---|---|
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 3.5 times more in Hawaii than in Maryland. 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· 12th of 51
$79.43
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.