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 $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $48.98 | Professional | None | $33.11 | $42.66 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $229.09 | Facility | None | $89.13 | $147.91 | $229.09 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $41.69 | Professional | None | $26.92 | $37.15 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $52.48 | Facility | None | $25.70 | $28.84 | $52.48 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $173.78 Typical High $199.53 | Professional | None | $24.55 | $173.78 | $199.53 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $23.99 | Facility | None | $17.78 | $17.78 | $23.99 |
United Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None | $23.44 | $28.18 | $34.67 |
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 $17.38 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.46 Typical High $7.41 | Professional | 55 · Aftercare only | $5.25 | $6.46 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.27 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.47 | $4.27 | $4.90 |
Where Oklahoma sits
The same service costs 3.8 times more in Alaska than in Indiana. 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
$33.11
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.