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 $89.13 Median $125.89 Typical High $125.89 | Facility | None | $89.13 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | None | $87.10 | $93.33 | $93.33 |
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 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $245.47 | Facility | None | $128.82 | $223.87 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $93.33 Typical High $338.84 | Facility | None | $81.28 | $93.33 | $338.84 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $338.84 | Professional | None | $74.13 | $87.10 | $338.84 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | None | $69.18 | $81.28 | $91.20 |
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 $43.65 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.71 | $9.33 | $9.33 |
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· 51st of 51
$85.11
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.