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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $57.54 | Professional | None | $50.12 | $56.23 | $57.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $100.00 | Facility | None | $50.12 | $57.54 | $100.00 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $50.12 Typical High $446.68 | Professional | None | $29.51 | $50.12 | $446.68 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $12.02 Median $29.51 Typical High $50.12 | Professional | None | $12.02 | $29.51 | $50.12 |
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 $25.12 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $25.12 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $10.00 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $8.32 Typical High $8.71 | Professional | 55 · Aftercare only | $7.59 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.62 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.01 | $5.62 | $5.75 |
Where Oklahoma sits
The same service costs 2.9 times more in Montana than in Nebraska. 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· 28th of 51
$50.12
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.