How much rates vary
Facilitymedian $6,310 · 10th to 90th $933 to $14,125Professionalmedian $794 · 10th to 90th $617 to $5,888
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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,905.46 Median $9,120.11 Typical High $15,848.93 | Facility | None | $1,905.46 | $9,120.11 | $15,848.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $870.96 | Professional | None | $630.96 | $851.14 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $2,187.76 | Facility | None | $512.86 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,023.29 | Professional | None | $707.95 | $794.33 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,584.89 Typical High $8,709.64 | Facility | None | $933.25 | $1,584.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $5,888.44 | Professional | None | $588.84 | $776.25 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $8,511.38 | Facility | None | $1,230.27 | $4,073.80 | $8,511.38 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,000.00 | Professional | None | $549.54 | $691.83 | $1,000.00 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Where Oklahoma sits
The same service costs 3.5 times more in Wisconsin than in Hawaii. 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
WI $7,283HI $2,091
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.