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 $26.92 Median $38.02 Typical High $38.02 | Facility | None | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | None | $28.84 | $30.90 | $30.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $81.28 | Facility | None | $31.62 | $52.48 | $81.28 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $81.28 | Facility | None | $43.65 | $75.86 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $46.77 Typical High $46.77 | Facility | None | $19.95 | $46.77 | $46.77 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $31.62 | Professional | None | $18.62 | $21.88 | $31.62 |
United Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | None | $20.89 | $24.55 | $27.54 |
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 $14.45 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.37 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.88 | $3.09 | $3.09 |
Where Oklahoma sits
The same service costs 2.8 times more in Wyoming than in Arizona. 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· 24th of 51
$28.84
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.