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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | None | $208.93 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | None | $218.78 | $218.78 | $602.56 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $2,238.72 | Facility | None | $239.88 | $281.84 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $3,715.35 | Professional | None | $169.82 | $295.12 | $3,715.35 |
United Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $478.63 | Facility | None | $213.80 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $295.12 | Professional | None | $138.04 | $204.17 | $295.12 |
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 $104.71 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $21.88 |
Where Oklahoma sits
The same service costs 4.7 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· 23rd of 51
$275
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.