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 $93.33 Median $131.83 Typical High $131.83 | Facility | None | $93.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | None | $93.33 | $93.33 | $117.49 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $131.83 | Professional | None | $97.72 | $120.23 | $131.83 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $138.04 Typical High $165.96 | Facility | None | $93.33 | $138.04 | $165.96 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $3,162.28 | Professional | None | $89.13 | $128.82 | $3,162.28 |
United Setting Facility Modifier None Typical Low $144.54 Median $537.03 Typical High $851.14 | Facility | None | $144.54 | $537.03 | $851.14 |
United Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $141.25 | Professional | None | $85.11 | $104.71 | $141.25 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $11.75 |
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· 33rd of 51
$120
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.