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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,290.87 | $2,290.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $23,442.29 | Facility | None | $2,398.83 | $2,951.21 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $29,512.09 | Professional | None | $1,862.09 | $3,162.28 | $29,512.09 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $5,128.61 Typical High $5,128.61 | Facility | None | $2,454.71 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,479.11 | $2,137.96 | $3,162.28 |
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 $1,000.00 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,000.00 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $204.17 | $229.09 | $229.09 |
Where Oklahoma sits
The same service costs 2.8 times more in Wyoming 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· 28th of 51
$2,818
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.