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 $75.86 Median $112.20 Typical High $141.25 | Facility | None | $75.86 | $112.20 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | None | $70.79 | $75.86 | $75.86 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $199.53 | Facility | None | $104.71 | $186.21 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $107.15 Typical High $117.49 | Facility | None | $75.86 | $107.15 | $117.49 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $85.11 | Professional | None | $69.18 | $79.43 | $85.11 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $81.28 | Professional | None | $63.10 | $74.13 | $81.28 |
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 $35.48 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.08 | $7.59 | $7.59 |
Where Oklahoma sits
The same service costs 1.5 times more in Wyoming than in Florida. 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· 12th of 51
$75.86
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.