How much rates vary
Facilitymedian $4,467 · 10th to 90th $933 to $9,333Professionalmedian $871 · 10th to 90th $646 to $6,166
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 $1,000.00 Median $3,981.07 Typical High $12,589.25 | Facility | None | $1,000.00 | $3,981.07 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $831.76 | Professional | None | $660.69 | $812.83 | $831.76 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $10,232.93 | Facility | None | $3,981.07 | $6,456.54 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,096.48 | Professional | None | $630.96 | $851.14 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $1,513.56 | Facility | None | $630.96 | $1,258.93 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $933.25 | Professional | None | $660.69 | $812.83 | $933.25 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $5,888.44 | Facility | None | $831.76 | $1,148.15 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $5,011.87 Typical High $6,165.95 | Professional | None | $741.31 | $5,011.87 | $6,165.95 |
United Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $6,025.60 | Facility | None | $912.01 | $2,951.21 | $6,025.60 |
United Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,047.13 | Professional | None | $588.84 | $741.31 | $1,047.13 |
6 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 $331.13 Median $338.84 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 53 · Discontinued | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | 54 · Surgery only | $501.19 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $588.84 |
Where Oklahoma sits
The same service costs 3.1 times more in Alaska 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
AK $5,990MD $1,938
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.