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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | None | $63.10 | $67.61 | $67.61 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $70.79 | Facility | None | $27.54 | $45.71 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $177.83 | Facility | None | $93.33 | $165.96 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $72.44 | Facility | None | $37.15 | $37.15 | $72.44 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $309.03 | Professional | None | $47.86 | $53.70 | $309.03 |
United Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | None | $48.98 | $57.54 | $57.54 |
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 $31.62 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $9.55 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.31 | $6.76 | $6.76 |
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· 50th of 51
$57.54
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.