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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,570.40 | $2,570.40 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $27,542.29 | Facility | None | $2,691.53 | $3,235.94 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $34,673.69 | Professional | None | $2,187.76 | $3,715.35 | $34,673.69 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $6,025.60 Typical High $6,025.60 | Facility | None | $3,467.37 | $6,025.60 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,737.80 | $2,398.83 | $3,715.35 |
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 $1,122.02 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,122.02 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $446.68 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $338.84 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $223.87 | $257.04 | $257.04 |
Where Oklahoma sits
The same service costs 2.9 times more in Hawaii than in Pennsylvania. 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· 34th of 51
$3,162
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.