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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,466.84 | $5,128.61 | $5,128.61 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $5,370.32 Median $6,456.54 Typical High $48,977.88 | Facility | None | $5,370.32 | $6,456.54 | $48,977.88 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $54,954.09 | Professional | None | $3,890.45 | $6,760.83 | $54,954.09 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $10,964.78 Typical High $10,964.78 | Facility | None | $4,265.80 | $10,964.78 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $6,760.83 | Professional | None | $3,162.28 | $4,677.35 | $6,760.83 |
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 $2,238.72 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $2,238.72 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $891.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $676.08 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $446.68 | $512.86 | $512.86 |
Where Oklahoma sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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
$6,310
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.