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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | None | $39.81 | $39.81 | $45.71 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $426.58 | Facility | None | $47.86 | $57.54 | $426.58 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $741.31 | Professional | None | $33.11 | $57.54 | $741.31 |
United Setting Facility Modifier None Typical Low $53.70 Median $93.33 Typical High $93.33 | Facility | None | $53.70 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $57.54 | Professional | None | $26.30 | $39.81 | $57.54 |
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 $19.95 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.95 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.89 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $4.47 |
Where Oklahoma sits
The same service costs 4.9 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· 32nd of 51
$52.48
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.