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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | None | $31.62 | $36.31 | $36.31 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $281.84 | Facility | None | $38.02 | $45.71 | $281.84 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $363.08 | Professional | None | $22.91 | $41.69 | $363.08 |
United Setting Facility Modifier None Typical Low $27.54 Median $64.57 Typical High $64.57 | Facility | None | $27.54 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $41.69 | Professional | None | $18.20 | $27.54 | $41.69 |
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 $15.85 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.85 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.31 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.79 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.16 | $3.63 | $3.63 |
Where Oklahoma sits
The same service costs 2.5 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· 24th of 51
$39.81
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.