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 $154.88 Median $208.93 Typical High $208.93 | Facility | None | $154.88 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | None | $144.54 | $154.88 | $154.88 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $407.38 | Facility | None | $213.80 | $380.19 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $660.69 | Facility | None | $134.90 | $147.91 | $660.69 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $588.84 | Professional | None | $123.03 | $144.54 | $588.84 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $151.36 | Professional | None | $117.49 | $138.04 | $151.36 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $15.49 |
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· 43rd of 51
$145
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.