How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,738 to $18,621Professionalmedian $1,995 · 10th to 90th $1,549 to $12,023
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 $1,445.44 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,445.44 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $8,128.31 Median $13,489.63 Typical High $20,892.96 | Facility | None | $8,128.31 | $13,489.63 | $20,892.96 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,187.76 | Professional | None | $1,584.89 | $2,137.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,248.07 Typical High $6,165.95 | Facility | None | $630.96 | $5,248.07 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,737.80 | $1,995.26 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $9,332.54 | Facility | None | $1,445.44 | $2,290.87 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $12,022.64 | Professional | None | $1,479.11 | $2,041.74 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,737.80 | $2,454.71 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Oklahoma sits
The same service costs 4.7 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 $16,761KY $3,604
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.