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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,479.11 | $1,479.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $13,182.57 | Facility | None | $1,548.82 | $1,862.09 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,023.29 | $1,862.09 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,445.44 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,737.80 | Professional | None | $812.83 | $1,230.27 | $1,737.80 |
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 $645.65 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $645.65 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $257.04 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $128.82 | $147.91 | $147.91 |
Where Oklahoma sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 27th of 51
$1,738
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.