How much rates vary
Facilitymedian $4,467 · 10th to 90th $741 to $9,120Professionalmedian $490 · 10th to 90th $380 to $813
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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $588.84 | Professional | None | $426.58 | $436.52 | $588.84 |
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 $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 $436.52 Median $489.78 Typical High $602.56 | Professional | None | $436.52 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $6,025.60 | Facility | None | $457.09 | $1,047.13 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $3,019.95 | Professional | None | $363.08 | $512.86 | $3,019.95 |
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 $630.96 | Professional | None | $346.74 | $446.68 | $630.96 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $302.00 |
Where Oklahoma sits
The same service costs 5.1 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 $6,741MT $1,322
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.