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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $7,244.36 | Facility | None | $3,801.89 | $6,760.83 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,951.21 | Facility | None | $1,905.46 | $1,905.46 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $10,715.19 | Professional | None | $2,187.76 | $2,570.40 | $10,715.19 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,454.71 | $2,691.53 |
5 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 $1,288.25 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,949.84 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $257.04 | $275.42 | $275.42 |
Where Oklahoma sits
Rates are fairly even across states for this service. 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· 31st of 51
$2,570
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.