How much rates vary
Facilitymedian $1,380 · 10th to 90th $427 to $3,236Professionalmedian $646 · 10th to 90th $490 to $3,890
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 $676.08 Median $1,445.44 Typical High $6,760.83 | Facility | None | $676.08 | $1,445.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $758.58 | Professional | None | $537.03 | $562.34 | $758.58 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $478.63 Median $1,737.80 Typical High $2,951.21 | Facility | None | $478.63 | $1,737.80 | $2,951.21 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $741.31 | Professional | None | $501.19 | $660.69 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,174.90 | Facility | None | $630.96 | $977.24 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $758.58 | Professional | None | $588.84 | $660.69 | $758.58 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $2,818.38 | Facility | None | $363.08 | $758.58 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $3,890.45 Typical High $4,073.80 | Professional | None | $489.78 | $3,890.45 | $4,073.80 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $794.33 | Professional | None | $426.58 | $562.34 | $794.33 |
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 $269.15 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 54 · Surgery only | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $398.11 |
Where Oklahoma sits
The same service costs 4.0 times more in Colorado than in Florida. 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
CO $4,440FL $1,118
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.