How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,230 to $10,965Professionalmedian $1,023 · 10th to 90th $759 to $6,457
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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,265.80 Median $7,079.46 Typical High $10,964.78 | Facility | None | $4,265.80 | $7,079.46 | $10,964.78 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,122.02 | Professional | None | $831.76 | $1,023.29 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,311.31 Typical High $3,801.89 | Facility | None | $512.86 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,230.27 | Professional | None | $933.25 | $1,023.29 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $6,456.54 | Professional | None | $758.58 | $1,071.52 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,288.25 | Professional | None | $707.95 | $891.25 | $1,288.25 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Oklahoma sits
The same service costs 3.9 times more in Alaska 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
AK $10,228KY $2,649
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.