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 $48.98 Median $69.18 Typical High $69.18 | Facility | None | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | None | $48.98 | $48.98 | $52.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $34.67 | Facility | None | $13.49 | $21.88 | $34.67 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $53.70 | Facility | None | $16.60 | $16.60 | $53.70 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $53.70 Typical High $407.38 | Professional | None | $10.96 | $53.70 | $407.38 |
United Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $56.23 | Professional | None | $42.66 | $50.12 | $56.23 |
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 $24.55 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.13 |
Where Oklahoma sits
The same service costs 6.6 times more in Alaska than in Hawaii. 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· 7th of 51
$52.48
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.