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 $34.67 Median $66.07 Typical High $66.07 | Facility | None | $34.67 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | None | $34.67 | $34.67 | $56.23 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $70.79 | Facility | None | $27.54 | $45.71 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $42.66 Typical High $42.66 | Facility | None | $34.67 | $42.66 | $42.66 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $660.69 | Professional | None | $36.31 | $47.86 | $660.69 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | None | $36.31 | $42.66 | $42.66 |
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 $5.13 Median $5.25 Typical High $8.51 | Professional | 55 · Aftercare only | $5.13 | $5.25 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $5.62 |
Where Oklahoma sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 26th of 51
$46.77
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.