How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,000 to $14,125Professionalmedian $955 · 10th to 90th $724 to $13,183
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 $851.14 Median $2,570.40 Typical High $7,585.78 | Facility | None | $851.14 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,148.15 | Professional | None | $776.25 | $1,047.13 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $1,258.93 | Facility | None | $549.54 | $724.44 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,258.93 | Professional | None | $912.01 | $954.99 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,951.21 Typical High $14,125.38 | Facility | None | $1,096.48 | $2,951.21 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $13,182.57 | Professional | None | $724.44 | $954.99 | $13,182.57 |
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 $676.08 Median $851.14 Typical High $1,230.27 | Professional | None | $676.08 | $851.14 | $1,230.27 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Where Oklahoma sits
The same service costs 4.6 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 $9,843KY $2,122
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.