How much rates vary
Facilitymedian $3,715 · 10th to 90th $355 to $8,710Professionalmedian $347 · 10th to 90th $229 to $1,622
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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $346.74 | Professional | None | $229.09 | $288.40 | $346.74 |
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 $218.78 Median $295.12 Typical High $446.68 | Professional | None | $218.78 | $295.12 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $1,513.56 | Facility | None | $575.44 | $1,258.93 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $380.19 | Professional | None | $234.42 | $302.00 | $380.19 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $4,073.80 | Facility | None | $302.00 | $436.52 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $1,621.81 Typical High $2,511.89 | Professional | None | $302.00 | $1,621.81 | $2,511.89 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $426.58 | Professional | None | $204.17 | $302.00 | $426.58 |
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 $112.20 Median $114.82 Typical High $173.78 | Professional | 52 · Reduced service | $112.20 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | 53 · Discontinued | $45.71 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $173.78 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $173.78 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $34.67 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $34.67 |
Where Oklahoma sits
The same service costs 6.1 times more in Michigan than in Montana. 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
MI $4,783MT $790
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.