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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,949.84 | $2,187.76 | $2,187.76 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $20,892.96 | Facility | None | $2,344.23 | $2,818.38 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $22,387.21 | Professional | None | $1,659.59 | $2,884.03 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $4,677.35 | Facility | None | $2,187.76 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,995.26 | $2,884.03 |
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 $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $977.24 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $389.05 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $288.40 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $194.98 | $218.78 | $218.78 |
Where Oklahoma sits
The same service costs 2.6 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· 32nd of 51
$2,692
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.