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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | None | $489.78 | $562.34 | $562.34 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $4,466.84 | Facility | None | $588.84 | $707.95 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $645.65 Typical High $5,754.40 | Professional | None | $354.81 | $645.65 | $5,754.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,000.00 | Facility | None | $501.19 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $645.65 | Professional | None | $288.40 | $426.58 | $645.65 |
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 $245.47 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $245.47 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $97.72 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $48.98 | $56.23 | $56.23 |
Where Oklahoma sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 23rd of 51
$617
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.