How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,585 to $14,454Professionalmedian $2,951 · 10th to 90th $2,188 to $18,621
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 $1,445.44 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,445.44 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $3,467.37 | Professional | None | $2,344.23 | $3,162.28 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,981.07 Typical High $4,677.35 | Facility | None | $630.96 | $3,981.07 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,951.21 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $14,454.40 | Facility | None | $1,862.09 | $3,311.31 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $18,620.87 | Professional | None | $2,137.96 | $2,754.23 | $18,620.87 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $15,135.61 | Facility | None | $1,905.46 | $7,762.47 | $15,135.61 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,570.40 | $3,630.78 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,778.28 |
Where Oklahoma sits
The same service costs 4.0 times more in Alaska than in Texas. 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 $19,772TX $4,915
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.