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 $19.95 Median $30.90 Typical High $30.90 | Facility | None | $19.95 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $19.95 | Professional | None | $18.62 | $19.95 | $19.95 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $158.49 | Facility | None | $63.10 | $102.33 | $158.49 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $38.90 | Facility | None | $25.70 | $36.31 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $165.96 | Facility | None | $30.20 | $33.88 | $165.96 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $41.69 | Professional | None | $28.18 | $31.62 | $41.69 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $22.39 | Professional | None | $17.38 | $20.42 | $22.39 |
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 $9.33 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $9.33 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.72 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.82 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.86 | $2.00 | $2.00 |
Where Oklahoma sits
The same service costs 1.8 times more in Hawaii than in Ohio. 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· 8th of 51
$23.99
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.