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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,819.70 | $2,089.30 | $2,089.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $17,782.79 | Facility | None | $2,187.76 | $2,630.27 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $22,387.21 | Professional | None | $1,380.38 | $2,454.71 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $3,801.89 Typical High $3,801.89 | Facility | None | $2,187.76 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,659.59 | $2,398.83 |
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 $912.01 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $912.01 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $269.15 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $181.97 | $208.93 | $208.93 |
Where Oklahoma sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$2,188
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.