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 $15.49 Median $15.85 Typical High $15.85 | Facility | None | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | None | $15.49 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | None | $20.42 | $20.42 | $28.84 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $37.15 | Facility | None | $16.22 | $19.50 | $37.15 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $125.89 | Professional | None | $10.96 | $19.05 | $125.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $19.05 | Professional | None | $8.71 | $10.96 | $19.05 |
2 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 55 · Aftercare only Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.34 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.55 | $1.58 | $1.58 |
Where Oklahoma sits
The same service costs 2.5 times more in Hawaii than in Colorado. 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· 32nd of 51
$15.85
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.