How much rates vary
Facilitymedian $708 · 10th to 90th $83 to $1,549Professionalmedian $112 · 10th to 90th $58 to $195
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 $60.26 Median $141.25 Typical High $6,456.54 | Facility | None | $60.26 | $141.25 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $123.03 | Professional | None | $60.26 | $87.10 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $57.54 | Professional | None | $41.69 | $54.95 | $57.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,445.44 | Facility | None | $575.44 | $933.25 | $1,445.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $147.91 | Professional | None | $58.88 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $125.89 | Facility | None | $50.12 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $141.25 | Professional | None | $66.07 | $117.49 | $141.25 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $1,174.90 | Facility | None | $79.43 | $151.36 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $501.19 Typical High $933.25 | Professional | None | $100.00 | $501.19 | $933.25 |
United Setting Facility Modifier None Typical Low $89.13 Median $575.44 Typical High $1,380.38 | Facility | None | $89.13 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $165.96 | Professional | None | $52.48 | $97.72 | $165.96 |
5 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 $30.20 Median $30.20 Typical High $56.23 | Professional | 52 · Reduced service | $30.20 | $30.20 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $22.39 | Professional | 53 · Discontinued | $12.02 | $12.02 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $45.71 Typical High $85.11 | Professional | 54 · Surgery only | $44.67 | $45.71 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.12 Typical High $16.98 | Professional | 55 · Aftercare only | $8.91 | $9.12 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $11.22 |
Where Oklahoma sits
The same service costs 12.9 times more in Colorado than in Maine. 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.
Physician feeFacility fee
CO $2,408ME $187
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.