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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None | $61.66 | $64.57 | $64.57 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $87.10 | Facility | None | $81.28 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $724.44 | Facility | None | $70.79 | $83.18 | $724.44 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $1,288.25 | Professional | None | $56.23 | $97.72 | $1,288.25 |
United Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $154.88 | Facility | None | $91.20 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $97.72 | Professional | None | $44.67 | $64.57 | $97.72 |
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 $30.90 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.46 |
Where Oklahoma sits
The same service costs 5.0 times more in Hawaii than in Delaware. 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· 33rd of 51
$83.18
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.