How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,122 to $20,893Professionalmedian $1,905 · 10th to 90th $1,413 to $11,749
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 $1,202.26 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $9,332.54 Median $15,488.17 Typical High $23,988.33 | Facility | None | $9,332.54 | $15,488.17 | $23,988.33 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,548.82 | $2,041.74 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,413.10 Typical High $8,511.38 | Facility | None | $630.96 | $7,413.10 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,905.46 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,238.72 Typical High $6,025.60 | Facility | None | $912.01 | $2,238.72 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $11,748.98 | Professional | None | $1,412.54 | $1,905.46 | $11,748.98 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,235.94 Typical High $6,309.57 | Facility | None | $933.25 | $3,235.94 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,659.59 | $2,344.23 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Where Oklahoma sits
The same service costs 6.3 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.
Physician feeFacility fee
AK $16,928TX $2,675
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.