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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $389.05 | Professional | None | $338.84 | $389.05 | $389.05 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $3,162.28 | Facility | None | $407.38 | $489.78 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $446.68 Typical High $4,365.16 | Professional | None | $245.47 | $446.68 | $4,365.16 |
United Setting Facility Modifier None Typical Low $398.11 Median $691.83 Typical High $691.83 | Facility | None | $398.11 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
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 $169.82 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $38.90 | $38.90 |
Where Oklahoma sits
The same service costs 3.7 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· 31st of 51
$389
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.