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 $40.74 Median $42.66 Typical High $64.57 | Facility | None | $40.74 | $42.66 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None | $43.65 | $46.77 | $46.77 |
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 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $123.03 | Facility | None | $66.07 | $114.82 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $50.12 | Facility | None | $31.62 | $31.62 | $50.12 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $46.77 | Professional | None | $35.48 | $41.69 | $46.77 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $46.77 | Professional | None | $35.48 | $42.66 | $46.77 |
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 $21.88 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $6.61 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.37 | $4.68 | $4.68 |
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· 28th of 51
$43.65
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.