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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $426.58 | Professional | None | $302.00 | $407.38 | $426.58 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $512.86 | Professional | None | $281.84 | $380.19 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $2,041.74 | Facility | None | $380.19 | $436.52 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $2,398.83 Typical High $2,754.23 | Professional | None | $354.81 | $2,398.83 | $2,754.23 |
United Setting Facility Modifier None Typical Low $77.62 Median $288.40 Typical High $457.09 | Facility | None | $77.62 | $288.40 | $457.09 |
United Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $478.63 | Professional | None | $239.88 | $331.13 | $478.63 |
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 $199.53 Median $204.17 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $60.26 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $43.65 |
Where Oklahoma sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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· 16th of 51
$437
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.