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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $46.77 | Professional | None | $38.02 | $45.71 | $46.77 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $52.48 | Professional | None | $38.02 | $51.29 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $66.07 | Facility | None | $34.67 | $34.67 | $66.07 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $269.15 | Professional | None | $29.51 | $38.90 | $269.15 |
United Setting Facility Modifier None Typical Low $16.60 Median $60.26 Typical High $97.72 | Facility | None | $16.60 | $60.26 | $97.72 |
United Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | None | $29.51 | $35.48 | $44.67 |
4 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 52 · Reduced service Typical Low $19.05 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.76 Typical High $6.92 | Professional | 55 · Aftercare only | $5.62 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.57 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.80 | $4.57 | $4.68 |
Where Oklahoma sits
The same service costs 12.9 times more in Hawaii than in Kentucky. 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· 18th of 51
$44.67
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.