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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $4,677.35 | Facility | None | $457.09 | $537.03 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $5,248.07 | Professional | None | $363.08 | $630.96 | $5,248.07 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,000.00 | Facility | None | $549.54 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $630.96 | Professional | None | $288.40 | $416.87 | $630.96 |
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 $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $41.69 |
Where Oklahoma sits
The same service costs 3.6 times more in Hawaii 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· 38th of 51
$525
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.