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 $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $9.33 | Professional | None | $8.13 | $9.33 | $9.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $102.33 | Facility | None | $9.77 | $11.75 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $125.89 | Professional | None | $7.94 | $13.49 | $125.89 |
United Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $21.88 | Facility | None | $12.59 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $13.49 | Professional | None | $6.31 | $8.71 | $13.49 |
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 $4.07 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.07 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.62 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.38 Typical High $1.38 | Professional | 55 · Aftercare only | $1.23 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.81 | $0.93 | $0.93 |
Where Oklahoma sits
The same service costs 3.0 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· 43rd of 51
$11.22
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.