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 $66.07 Median $85.11 Typical High $85.11 | Facility | None | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | None | $61.66 | $66.07 | $66.07 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $162.18 | Facility | None | $63.10 | $102.33 | $162.18 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $165.96 | Facility | None | $91.20 | $154.88 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $91.20 Typical High $91.20 | Facility | None | $43.65 | $91.20 | $91.20 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $43.65 Typical High $162.18 | Professional | None | $17.78 | $43.65 | $162.18 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | None | $47.86 | $56.23 | $63.10 |
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 $30.90 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.30 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.17 | $6.61 | $6.61 |
Where Oklahoma sits
The same service costs 2.0 times more in Wyoming than in Hawaii. 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· 25th of 51
$60.26
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.