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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | None | $234.42 | $234.42 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $2,691.53 | Facility | None | $263.03 | $316.23 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $3,467.37 | Professional | None | $213.80 | $363.08 | $3,467.37 |
United Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $588.84 | Facility | None | $338.84 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $363.08 | Professional | None | $169.82 | $245.47 | $363.08 |
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 $114.82 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.99 |
Where Oklahoma sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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· 32nd of 51
$309
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.