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 $3,019.95 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,019.95 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,884.03 | $3,090.30 | $3,090.30 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,290.87 | Facility | None | $891.25 | $1,445.44 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $8,128.31 | Facility | None | $4,265.80 | $7,585.78 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,235.94 | Facility | None | $2,290.87 | $2,290.87 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $11,748.98 | Professional | None | $2,454.71 | $2,884.03 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,398.83 | $2,818.38 | $3,162.28 |
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 $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,445.44 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $575.44 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $436.52 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $288.40 | $309.03 | $309.03 |
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· 32nd of 51
$2,884
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.