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 $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | None | $2.29 | $2.29 | $2.34 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.75 | Facility | None | $2.57 | $2.57 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.19 | Professional | None | $1.91 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $2.34 Median $2.45 Typical High $79.43 | Facility | None | $2.34 | $2.45 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.62 Median $2.82 Typical High $22.39 | Professional | None | $1.62 | $2.82 | $22.39 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.78 Typical High $2.82 | Professional | None | $1.32 | $1.78 | $2.82 |
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 $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.24 |
Where Oklahoma sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 37th of 51
$2.29
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.