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 $38.90 Median $54.95 Typical High $54.95 | Facility | None | $38.90 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | None | $37.15 | $38.90 | $38.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $81.28 | Facility | None | $31.62 | $52.48 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $102.33 | Facility | None | $54.95 | $95.50 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $56.23 | Facility | None | $37.15 | $43.65 | $56.23 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $165.96 | Professional | None | $37.15 | $38.90 | $165.96 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | None | $30.90 | $36.31 | $40.74 |
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 $18.20 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.50 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.72 | $3.89 | $3.89 |
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· 18th of 51
$37.15
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.