How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,047 to $14,791Professionalmedian $1,514 · 10th to 90th $1,148 to $9,333
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,165.95 Median $10,232.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $10,232.93 | $16,218.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,621.81 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,370.32 Typical High $6,309.57 | Facility | None | $630.96 | $5,370.32 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,513.56 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,862.09 Typical High $6,165.95 | Facility | None | $870.96 | $1,862.09 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $9,332.54 | Professional | None | $1,122.02 | $1,479.11 | $9,332.54 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $6,309.57 | Facility | None | $933.25 | $3,162.28 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,380.38 | $1,949.84 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Oklahoma sits
The same service costs 6.1 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 $14,041TX $2,290
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.