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 $40.74 Median $57.54 Typical High $117.49 | Facility | None | $40.74 | $57.54 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $123.03 | Professional | None | $40.74 | $79.43 | $123.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,412.54 | Facility | None | $549.54 | $912.01 | $1,412.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $53.70 Median $123.03 Typical High $190.55 | Professional | None | $53.70 | $123.03 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $158.49 | Professional | None | $58.88 | $77.62 | $158.49 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $117.49 Typical High $165.96 | Facility | None | $57.54 | $117.49 | $165.96 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $478.63 Typical High $851.14 | Professional | None | $114.82 | $478.63 | $851.14 |
United Setting Facility Modifier None Typical Low $93.33 Median $346.74 Typical High $549.54 | Facility | None | $93.33 | $346.74 | $549.54 |
United Setting Professional Modifier None Typical Low $39.81 Median $91.20 Typical High $154.88 | Professional | None | $39.81 | $91.20 | $154.88 |
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 $20.42 Median $39.81 Typical High $58.88 | Professional | 52 · Reduced service | $20.42 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $15.85 Typical High $23.44 | Professional | 53 · Discontinued | $8.13 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $11.75 Typical High $17.78 | Professional | 55 · Aftercare only | $6.17 | $11.75 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.94 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.07 | $7.94 | $11.75 |
Where Oklahoma sits
The same service costs 3.5 times more in Wisconsin than in Washington, DC. 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· 13th of 51
$135
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.