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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,071.52 | $1,230.27 | $1,230.27 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $12,022.64 | Facility | None | $1,288.25 | $1,548.82 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $16,982.44 | Professional | None | $954.99 | $1,621.81 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,202.26 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,621.81 | Professional | None | $758.58 | $1,122.02 | $1,621.81 |
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 $537.03 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $537.03 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $107.15 | $123.03 | $123.03 |
Where Oklahoma sits
The same service costs 3.5 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· 44th of 51
$1,288
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.