How much rates vary
Facilitymedian $2,570 · 10th to 90th $661 to $5,754Professionalmedian $562 · 10th to 90th $427 to $1,023
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 $660.69 Median $3,801.89 Typical High $12,589.25 | Facility | None | $660.69 | $3,801.89 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $776.25 Median $2,754.23 Typical High $4,786.30 | Facility | None | $776.25 | $2,754.23 | $4,786.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $616.60 | Professional | None | $446.68 | $602.56 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,995.26 | Facility | None | $1,288.25 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $676.08 | Professional | None | $501.19 | $562.34 | $676.08 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $6,025.60 | Facility | None | $524.81 | $1,047.13 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $3,467.37 | Professional | None | $416.87 | $575.44 | $3,467.37 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $724.44 | Professional | None | $389.05 | $501.19 | $724.44 |
2 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 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 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 4.4 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 $6,812MT $1,536
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.