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 $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | None | $4.37 | $4.37 | $4.47 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $4.57 Typical High $10.00 | Facility | None | $4.47 | $4.57 | $10.00 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $4.57 Typical High $37.15 | Professional | None | $2.63 | $4.57 | $37.15 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.63 Typical High $4.57 | Professional | None | $2.09 | $2.63 | $4.57 |
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 $0.66 Median $0.66 Typical High $0.68 | Professional | 55 · Aftercare only | $0.66 | $0.66 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.45 |
Where Oklahoma sits
The same service costs 2.5 times more in Idaho 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· 33rd of 51
$3.80
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.