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 $831.76 Typical High $933.25 | Professional | None | $831.76 | $831.76 | $933.25 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $7,585.78 | Facility | None | $1,000.00 | $1,202.26 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $9,549.93 | Professional | None | $602.56 | $1,071.52 | $9,549.93 |
United Setting Facility Modifier None Typical Low $457.09 Median $1,659.59 Typical High $1,659.59 | Facility | None | $457.09 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $1,071.52 | Professional | None | $478.63 | $724.44 | $1,071.52 |
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 $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $416.87 | $467.74 | $467.74 |
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 $123.03 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $83.18 | $93.33 | $93.33 |
Where Oklahoma sits
The same service costs 2.6 times more in Montana than in Florida. 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
$1,023
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.