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 $218.78 Median $309.03 Typical High $309.03 | Facility | None | $218.78 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | None | $208.93 | $223.87 | $223.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $323.59 | Facility | None | $125.89 | $204.17 | $323.59 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $537.03 Typical High $575.44 | Facility | None | $309.03 | $537.03 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $977.24 | Facility | None | $199.53 | $223.87 | $977.24 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $851.14 | Professional | None | $177.83 | $208.93 | $851.14 |
United Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $223.87 | Professional | None | $169.82 | $199.53 | $223.87 |
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 $104.71 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $30.90 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $22.39 |
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· 31st of 51
$204
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.