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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | None | $47.86 | $47.86 | $50.12 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $489.78 | Facility | None | $54.95 | $66.07 | $489.78 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $524.81 | Professional | None | $38.90 | $67.61 | $524.81 |
United Setting Facility Modifier None Typical Low $32.36 Median $109.65 Typical High $109.65 | Facility | None | $32.36 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $67.61 | Professional | None | $30.90 | $46.77 | $67.61 |
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 $23.99 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $23.99 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $5.01 |
Where Oklahoma sits
The same service costs 2.1 times more in Montana than in Florida. 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· 24th of 51
$63.10
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.