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 $741.31 Median $1,047.13 Typical High $1,047.13 | Facility | None | $741.31 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | None | $691.83 | $741.31 | $741.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,122.02 | Facility | None | $436.52 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,819.70 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $741.31 Typical High $3,235.94 | Facility | None | $691.83 | $741.31 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $2,818.38 | Professional | None | $616.60 | $724.44 | $2,818.38 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $758.58 | Professional | None | $588.84 | $691.83 | $758.58 |
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 $346.74 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $74.13 |
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· 27th of 51
$692
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.