How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,202 to $12,589Professionalmedian $1,380 · 10th to 90th $1,047 to $2,570
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 $1,202.26 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,548.82 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $19,498.45 Typical High $22,908.68 | Facility | None | $1,445.44 | $19,498.45 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,380.38 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $8,128.31 | Facility | None | $1,174.90 | $1,659.59 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $8,709.64 | Professional | None | $1,023.29 | $1,348.96 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,677.35 Typical High $9,120.11 | Facility | None | $1,230.27 | $4,677.35 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,230.27 | $1,737.80 |
2 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 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Where Oklahoma sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.