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 $165.96 Median $204.17 Typical High $407.38 | Facility | None | $165.96 | $204.17 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | None | $281.84 | $302.00 | $302.00 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $323.59 | Facility | None | $125.89 | $204.17 | $323.59 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $794.33 | Facility | None | $416.87 | $741.31 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $309.03 | Facility | None | $162.18 | $162.18 | $309.03 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $288.40 | Professional | None | $218.78 | $257.04 | $288.40 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $302.00 | Professional | None | $229.09 | $269.15 | $302.00 |
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 $141.25 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.18 | $30.20 | $30.20 |
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· 49th of 51
$275
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.