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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | None | $407.38 | $467.74 | $467.74 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $588.84 Typical High $4,677.35 | Facility | None | $489.78 | $588.84 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $6,606.93 | Professional | None | $363.08 | $630.96 | $6,606.93 |
United Setting Facility Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,023.29 | Facility | None | $588.84 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $630.96 | Professional | None | $288.40 | $426.58 | $630.96 |
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 $204.17 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $204.17 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $40.74 | $46.77 | $46.77 |
Where Oklahoma sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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· 30th of 51
$575
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.