How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,148 to $14,791Professionalmedian $1,380 · 10th to 90th $661 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 $1,023.29 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,023.29 | $3,162.28 | $8,317.64 |
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 $6,456.54 Median $10,715.19 Typical High $16,595.87 | Facility | None | $6,456.54 | $10,715.19 | $16,595.87 |
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 $776.25 Median $1,513.56 Typical High $1,621.81 | Professional | None | $776.25 | $1,513.56 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $8,709.64 | Facility | None | $831.76 | $1,778.28 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $9,332.54 | Professional | None | $660.69 | $1,412.54 | $9,332.54 |
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 $616.60 Median $1,174.90 Typical High $1,862.09 | Professional | None | $616.60 | $1,174.90 | $1,862.09 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Where Oklahoma sits
The same service costs 3.7 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 $9,494KY $2,537
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.