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 $407.38 Median $416.87 Typical High $416.87 | Professional | None | $407.38 | $416.87 | $416.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $4,265.80 | Facility | None | $457.09 | $549.54 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $5,623.41 | Professional | None | $331.13 | $575.44 | $5,623.41 |
United Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $933.25 | Facility | None | $537.03 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $575.44 | Professional | None | $269.15 | $398.11 | $575.44 |
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 $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $41.69 |
Where Oklahoma sits
The same service costs 3.9 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· 42nd of 51
$457
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.