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 $58.88 Median $85.11 Typical High $85.11 | Facility | None | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | None | $54.95 | $58.88 | $58.88 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $0.21 Median $0.34 Typical High $0.52 | Facility | None | $0.21 | $0.34 | $0.52 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $147.91 | Facility | None | $83.18 | $138.04 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $457.09 | Facility | None | $77.62 | $87.10 | $457.09 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $316.23 | Professional | None | $56.23 | $77.62 | $316.23 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $61.66 | Professional | None | $47.86 | $56.23 | $61.66 |
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 $27.54 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.32 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.50 | $5.89 | $5.89 |
Where Oklahoma sits
Rates are fairly even across states for this service. 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· 14th of 51
$58.88
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.