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 $20,892.96 Median $20,892.96 Typical High $20,892.96 | Facility | None | $20,892.96 | $20,892.96 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $20,892.96 Median $23,988.33 Typical High $23,988.33 | Professional | None | $20,892.96 | $23,988.33 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $42,657.95 | Professional | None | $42,657.95 | $42,657.95 | $42,657.95 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $22,387.21 | Professional | None | $22,387.21 | $22,387.21 | $22,387.21 |
Medica Setting Facility Modifier None Typical Low $25,118.86 Median $30,199.52 Typical High $204,173.79 | Facility | None | $25,118.86 | $30,199.52 | $204,173.79 |
Medica Setting Professional Modifier None Typical Low $16,218.10 Median $29,512.09 Typical High $245,470.89 | Professional | None | $16,218.10 | $29,512.09 | $245,470.89 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $45,708.82 Typical High $45,708.82 | Facility | None | $45,708.82 | $45,708.82 | $45,708.82 |
United Setting Professional Modifier None Typical Low $13,182.57 Median $19,498.45 Typical High $28,183.83 | Professional | None | $13,182.57 | $19,498.45 | $28,183.83 |
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 $10,471.29 Median $12,022.64 Typical High $12,022.64 | Professional | 52 · Reduced service | $10,471.29 | $12,022.64 | $12,022.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,168.69 Median $4,786.30 Typical High $4,786.30 | Professional | 53 · Discontinued | $4,168.69 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,162.28 Median $3,630.78 Typical High $3,630.78 | Professional | 55 · Aftercare only | $3,162.28 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,089.30 Median $2,398.83 Typical High $2,398.83 | Professional | 56 · Pre-op care only | $2,089.30 | $2,398.83 | $2,398.83 |
Where Oklahoma sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 26th of 51
$28,184
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.