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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,174.90 | $1,174.90 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $10,964.78 | Facility | None | $1,230.27 | $1,479.11 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $14,454.40 | Professional | None | $851.14 | $1,479.11 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,348.96 | $2,344.23 | $2,344.23 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,445.44 | Professional | None | $676.08 | $1,023.29 | $1,445.44 |
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 $512.86 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $117.49 | $117.49 |
Where Oklahoma sits
The same service costs 3.8 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· 36th of 51
$1,230
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.