How much rates vary
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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $16,982.44 | Facility | None | $6,456.54 | $10,715.19 | $16,982.44 |
BCBS Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $912.01 | Professional | None | $602.56 | $812.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $2,187.76 | Facility | None | $512.86 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $891.25 | Professional | None | $616.60 | $758.58 | $891.25 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,584.89 Typical High $8,709.64 | Facility | None | $812.83 | $1,584.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $4,677.35 | Professional | None | $562.34 | $724.44 | $4,677.35 |
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 $524.81 Median $660.69 Typical High $933.25 | Professional | None | $524.81 | $660.69 | $933.25 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $467.74 |
Where Oklahoma sits
The same service costs 18.6 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.
Oklahoma· 29th of 51
$832
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.