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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | None | $309.03 | $309.03 | $316.23 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $3,090.30 | Facility | None | $346.74 | $416.87 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $4,168.69 | Professional | None | $239.88 | $416.87 | $4,168.69 |
United Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $676.08 | Facility | None | $389.05 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $416.87 | Professional | None | $194.98 | $288.40 | $416.87 |
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 $151.36 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $31.62 |
Where Oklahoma sits
The same service costs 3.7 times more in Hawaii 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· 23rd of 51
$407
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.