How much rates vary
Facilitymedian $5,754 · 10th to 90th $631 to $13,804Professionalmedian $501 · 10th to 90th $389 to $776
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 $588.84 Median $3,801.89 Typical High $12,589.25 | Facility | None | $588.84 | $3,801.89 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | None | $446.68 | $457.09 | $457.09 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,380.38 Median $9,120.11 Typical High $15,848.93 | Facility | None | $1,380.38 | $9,120.11 | $15,848.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $549.54 | Professional | None | $398.11 | $537.03 | $549.54 |
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 $446.68 Median $501.19 Typical High $602.56 | Professional | None | $446.68 | $501.19 | $602.56 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $6,025.60 | Facility | None | $467.74 | $1,047.13 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $3,090.30 | Professional | None | $371.54 | $512.86 | $3,090.30 |
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 $346.74 Median $446.68 Typical High $645.65 | Professional | None | $346.74 | $446.68 | $645.65 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Where Oklahoma sits
The same service costs 4.9 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 $6,755MT $1,384
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.