How much rates vary
Facilitymedian $776 · 10th to 90th $112 to $1,738Professionalmedian $186 · 10th to 90th $100 to $871
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 $173.78 Median $2,454.71 Typical High $7,585.78 | Facility | None | $173.78 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $208.93 | Professional | None | $95.50 | $169.82 | $208.93 |
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 $100.00 Median $165.96 Typical High $223.87 | Professional | None | $100.00 | $165.96 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $138.04 | Facility | None | $66.07 | $123.03 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $229.09 | Professional | None | $114.82 | $181.97 | $229.09 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $239.88 Typical High $1,174.90 | Facility | None | $89.13 | $239.88 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $870.96 Typical High $1,479.11 | Professional | None | $151.36 | $870.96 | $1,479.11 |
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 $85.11 Median $151.36 Typical High $251.19 | Professional | None | $85.11 | $151.36 | $251.19 |
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 $47.86 Median $48.98 Typical High $87.10 | Professional | 52 · Reduced service | $47.86 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | 53 · Discontinued | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $128.82 | Professional | 54 · Surgery only | $72.44 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $25.70 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.77 Typical High $17.38 | Professional | 56 · Pre-op care only | $9.55 | $9.77 | $17.38 |
Where Oklahoma sits
The same service costs 11.6 times more in Hawaii than in Maryland. 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
HI $3,027MD $261
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.