How much rates vary
Facilitymedian $4,365 · 10th to 90th $631 to $8,913Professionalmedian $589 · 10th to 90th $417 to $3,090
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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $602.56 | Professional | None | $436.52 | $478.63 | $602.56 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $10,232.93 | Facility | None | $3,981.07 | $6,606.93 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $758.58 | Professional | None | $389.05 | $562.34 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,380.38 Typical High $1,659.59 | Facility | None | $512.86 | $1,380.38 | $1,659.59 |
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 $575.44 Median $812.83 Typical High $6,025.60 | Facility | None | $575.44 | $812.83 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $3,090.30 Typical High $4,365.16 | Professional | None | $512.86 | $3,090.30 | $4,365.16 |
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 $354.81 Median $489.78 Typical High $707.95 | Professional | None | $354.81 | $489.78 | $707.95 |
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 $218.78 Median $218.78 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | 54 · Surgery only | $323.59 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $426.58 |
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 $6,491MT $1,489
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.