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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $3,467.37 | Facility | None | $380.19 | $457.09 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $5,011.87 | Professional | None | $269.15 | $467.74 | $5,011.87 |
United Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $758.58 | Facility | None | $436.52 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $467.74 | Professional | None | $218.78 | $323.59 | $467.74 |
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 $165.96 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $34.67 |
Where Oklahoma sits
The same service costs 4.3 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· 41st of 51
$363
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.