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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.72 Typical High $10.72 | Facility | None | $4.90 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $11.22 Typical High $79.43 | Facility | None | $10.72 | $11.22 | $79.43 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $89.13 | Professional | None | $6.31 | $10.96 | $89.13 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $10.96 | Professional | None | $5.13 | $7.41 | $10.96 |
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 $1.58 Median $1.58 Typical High $1.58 | Professional | 55 · Aftercare only | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.05 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.05 | $1.05 | $1.07 |
Where Oklahoma sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 29th of 51
$10.72
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.