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 $2.95 Median $3.16 Typical High $8.71 | Facility | None | $2.95 | $3.16 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | None | $8.13 | $8.71 | $8.71 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1.26 Median $2.04 Typical High $3.24 | Facility | None | $1.26 | $2.04 | $3.24 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $21.38 Typical High $22.91 | Facility | None | $12.30 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medica Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $10.96 | Facility | None | $4.79 | $4.79 | $10.96 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $48.98 | Professional | None | $5.01 | $8.51 | $48.98 |
United Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | None | $6.17 | $7.24 | $7.24 |
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 $4.07 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $4.07 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.62 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.23 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.81 | $0.87 | $0.87 |
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· 46th of 51
$7.76
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.