How much rates vary
Facilitymedian $1,288 · 10th to 90th $501 to $4,365Professionalmedian $871 · 10th to 90th $661 to $5,370
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 $776.25 Median $2,570.40 Typical High $7,585.78 | Facility | None | $776.25 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,047.13 | Professional | None | $707.95 | $954.99 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,258.93 | Facility | None | $630.96 | $977.24 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,122.02 | Professional | None | $812.83 | $870.96 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $4,168.69 | Facility | None | $467.74 | $1,047.13 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $5,370.32 | Professional | None | $660.69 | $933.25 | $5,370.32 |
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 $630.96 Median $776.25 Typical High $1,096.48 | Professional | None | $630.96 | $776.25 | $1,096.48 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Where Oklahoma sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.