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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | None | $158.49 | $158.49 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $1,071.52 | Facility | None | $147.91 | $165.96 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $1,174.90 | Professional | None | $151.36 | $218.78 | $1,174.90 |
United Setting Facility Modifier None Typical Low $144.54 Median $537.03 Typical High $851.14 | Facility | None | $144.54 | $537.03 | $851.14 |
United Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $288.40 | Professional | None | $141.25 | $177.83 | $288.40 |
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 $77.62 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $19.50 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $19.50 |
Where Oklahoma sits
The same service costs 3.2 times more in Alaska 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· 37th of 51
$178
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.