How much rates vary
Facilitymedian $4,169 · 10th to 90th $708 to $9,120Professionalmedian $550 · 10th to 90th $380 to $2,692
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 $562.34 Median $3,890.45 Typical High $12,589.25 | Facility | None | $562.34 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | None | $380.19 | $380.19 | $562.34 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,548.82 Median $5,888.44 Typical High $10,232.93 | Facility | None | $1,548.82 | $5,888.44 | $10,232.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $724.44 | Professional | None | $346.74 | $524.81 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,187.76 | Facility | None | $630.96 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $630.96 | Professional | None | $436.52 | $524.81 | $630.96 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $6,025.60 | Facility | None | $512.86 | $776.25 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $2,691.53 Typical High $3,981.07 | Professional | None | $489.78 | $2,691.53 | $3,981.07 |
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 $316.23 Median $457.09 Typical High $660.69 | Professional | None | $316.23 | $457.09 | $660.69 |
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 $186.21 Median $186.21 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $186.21 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | 54 · Surgery only | $281.84 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $398.11 |
Where Oklahoma sits
The same service costs 4.7 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 $6,438MT $1,383
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.