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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | None | $12.02 | $12.02 | $12.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $102.33 | Facility | None | $12.88 | $16.22 | $102.33 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $128.82 | Professional | None | $8.13 | $14.13 | $128.82 |
United Setting Facility Modifier None Typical Low $7.94 Median $22.91 Typical High $22.91 | Facility | None | $7.94 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $14.13 | Professional | None | $6.61 | $9.77 | $14.13 |
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 $6.03 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.86 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.23 |
Where Oklahoma sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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· 32nd of 51
$12.59
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.