How much rates vary
Facilitymedian $6,918 · 10th to 90th $891 to $14,791Professionalmedian $575 · 10th to 90th $427 to $3,715
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 $501.19 Median $501.19 Typical High $645.65 | Professional | None | $501.19 | $501.19 | $645.65 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $16,595.87 | Facility | None | $6,456.54 | $10,715.19 | $16,595.87 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $676.08 | Professional | None | $457.09 | $616.60 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,819.70 Typical High $2,187.76 | Facility | None | $776.25 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $676.08 | Professional | None | $478.63 | $575.44 | $676.08 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $8,709.64 | Facility | None | $660.69 | $1,584.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $3,715.35 | Professional | None | $426.58 | $549.54 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $8,511.38 | Facility | None | $1,230.27 | $4,073.80 | $8,511.38 |
United Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $707.95 | Professional | None | $398.11 | $501.19 | $707.95 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $346.74 |
Where Oklahoma sits
The same service costs 4.8 times more in Oklahoma than in Montana. 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
OK $7,494MT $1,553
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.