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 $169.82 Median $389.05 Typical High $416.87 | Facility | None | $169.82 | $389.05 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $169.82 | Professional | None | $158.49 | $162.18 | $169.82 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $1,412.54 | Facility | None | $186.21 | $218.78 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $190.55 Typical High $1,862.09 | Professional | None | $109.65 | $190.55 | $1,862.09 |
United Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $309.03 | Facility | None | $177.83 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $190.55 | Professional | None | $89.13 | $131.83 | $190.55 |
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 $81.28 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.98 |
Where Oklahoma sits
The same service costs 3.5 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· 20th of 51
$204
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.