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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | None | $6.31 | $6.46 | $6.46 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $6.76 Typical High $14.45 | Facility | None | $6.46 | $6.76 | $14.45 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $6.61 Typical High $57.54 | Professional | None | $3.80 | $6.61 | $57.54 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.80 Typical High $6.61 | Professional | None | $3.02 | $3.80 | $6.61 |
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 $0.95 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.95 | $0.95 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.63 | $0.65 | $0.65 |
Where Oklahoma sits
The same service costs 3.3 times more in Hawaii than in Utah. 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· 35th of 51
$5.50
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.