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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,584.89 | $1,819.70 | $1,819.70 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna 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 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $19,054.61 | Facility | None | $1,905.46 | $2,290.87 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,630.27 Typical High $23,988.33 | Professional | None | $1,548.82 | $2,630.27 | $23,988.33 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $4,265.80 | Facility | None | $2,041.74 | $4,265.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,737.80 | $2,630.27 |
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 $794.33 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $794.33 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $158.49 | $181.97 | $181.97 |
Where Oklahoma sits
The same service costs 2.5 times more in Montana 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· 38th of 51
$2,239
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.