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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | None | $46.77 | $48.98 | $48.98 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
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 $53.70 Median $64.57 Typical High $537.03 | Facility | None | $53.70 | $64.57 | $537.03 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $831.76 | Professional | None | $41.69 | $72.44 | $831.76 |
United Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $117.49 | Facility | None | $67.61 | $117.49 | $117.49 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $72.44 | Professional | None | $33.88 | $48.98 | $72.44 |
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 $23.44 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $4.90 |
Where Oklahoma sits
The same service costs 4.1 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· 28th of 51
$64.57
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.