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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | None | $208.93 | $218.78 | $218.78 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $2,187.76 | Facility | None | $229.09 | $288.40 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $2,570.40 | Professional | None | $173.78 | $302.00 | $2,570.40 |
United Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $478.63 | Facility | None | $245.47 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $302.00 | Professional | None | $138.04 | $208.93 | $302.00 |
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 $104.71 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $21.88 |
Where Oklahoma sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 26th of 51
$275
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.