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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | None | $630.96 | $724.44 | $724.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $758.58 Median $912.01 Typical High $7,762.47 | Facility | None | $758.58 | $912.01 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $8,317.64 | Professional | None | $616.60 | $1,071.52 | $8,317.64 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $1,698.24 | Facility | None | $851.14 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,071.52 | Professional | None | $489.78 | $691.83 | $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 $316.23 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $316.23 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $63.10 | $72.44 | $72.44 |
Where Oklahoma sits
The same service costs 2.1 times more in Wisconsin 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· 48th of 51
$891
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.