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 $30.90 Median $43.65 Typical High $43.65 | Facility | None | $30.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None | $34.67 | $37.15 | $37.15 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $295.12 | Facility | None | $125.89 | $199.53 | $295.12 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $89.13 Typical High $95.50 | Facility | None | $51.29 | $89.13 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $87.10 Typical High $107.15 | Facility | None | $28.18 | $87.10 | $107.15 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $67.61 | Professional | None | $25.70 | $30.20 | $67.61 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $31.62 | Professional | None | $23.99 | $28.18 | $31.62 |
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 $17.38 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.92 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.13 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.47 | $3.72 | $3.72 |
Where Oklahoma sits
The same service costs 5.4 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· 37th of 51
$33.88
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.