How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,413 to $22,387Professionalmedian $1,230 · 10th to 90th $891 to $7,586
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 $1,071.52 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,071.52 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $23,988.33 | Facility | None | $9,332.54 | $15,488.17 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,445.44 | Professional | None | $977.24 | $1,318.26 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $9,772.37 Typical High $11,481.54 | Facility | None | $630.96 | $9,772.37 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,230.27 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,019.95 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $7,585.78 | Professional | None | $891.25 | $1,174.90 | $7,585.78 |
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 $851.14 Median $1,047.13 Typical High $1,513.56 | Professional | None | $851.14 | $1,047.13 | $1,513.56 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Oklahoma sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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 $19,657HI $2,734
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.