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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | None | $831.76 | $954.99 | $954.99 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $10,232.93 | Facility | None | $1,000.00 | $1,202.26 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $12,882.50 | Professional | None | $812.83 | $1,380.38 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,071.52 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,380.38 | Professional | None | $645.65 | $891.25 | $1,380.38 |
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 $416.87 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $416.87 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $83.18 | $95.50 | $95.50 |
Where Oklahoma sits
The same service costs 3.1 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· 41st of 51
$1,175
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.