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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $177.83 | Professional | None | $66.07 | $154.88 | $177.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $1,479.11 | Facility | None | $575.44 | $954.99 | $1,479.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $229.09 | Professional | None | $69.18 | $138.04 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $741.31 | Facility | None | $95.50 | $97.72 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $199.53 | Professional | None | $66.07 | $117.49 | $199.53 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $234.42 | Facility | None | $77.62 | $154.88 | $234.42 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $1,230.27 | Professional | None | $144.54 | $199.53 | $1,230.27 |
United Setting Facility Modifier None Typical Low $89.13 Median $323.59 Typical High $524.81 | Facility | None | $89.13 | $323.59 | $524.81 |
United Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $213.80 | Professional | None | $63.10 | $138.04 | $213.80 |
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 $33.11 Median $35.48 Typical High $79.43 | Professional | 52 · Reduced service | $33.11 | $35.48 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $31.62 | Professional | 53 · Discontinued | $13.18 | $14.13 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $52.48 Typical High $117.49 | Professional | 54 · Surgery only | $50.12 | $52.48 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $23.44 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.08 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.61 | $7.08 | $15.85 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska 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· 11th of 51
$182
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.