How much rates vary
Facilitymedian $3,890 · 10th to 90th $457 to $8,318Professionalmedian $372 · 10th to 90th $269 to $3,388
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 $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,630.78 Median $6,025.60 Typical High $9,332.54 | Facility | None | $3,630.78 | $6,025.60 | $9,332.54 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $562.34 | Professional | None | $309.03 | $416.87 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,174.90 | Facility | None | $512.86 | $977.24 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $436.52 | Professional | None | $302.00 | $389.05 | $436.52 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $4,365.16 | Facility | None | $426.58 | $645.65 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $3,388.44 | Professional | None | $269.15 | $363.08 | $3,388.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $3,890.45 | Facility | None | $467.74 | $2,041.74 | $3,890.45 |
United Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $478.63 | Professional | None | $263.03 | $316.23 | $478.63 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $234.42 |
Where Oklahoma sits
The same service costs 4.6 times more in Colorado 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
CO $4,822MT $1,050
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.