How much rates vary
Facilitymedian $4,571 · 10th to 90th $603 to $9,333Professionalmedian $589 · 10th to 90th $372 to $2,570
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 $371.54 Median $501.19 Typical High $562.34 | Professional | None | $371.54 | $501.19 | $562.34 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $10,715.19 | Facility | None | $4,168.69 | $6,918.31 | $10,715.19 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $724.44 | Professional | None | $338.84 | $524.81 | $724.44 |
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 $407.38 Median $537.03 Typical High $645.65 | Professional | None | $407.38 | $537.03 | $645.65 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $6,025.60 | Facility | None | $549.54 | $870.96 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $2,570.40 Typical High $3,890.45 | Professional | None | $524.81 | $2,570.40 | $3,890.45 |
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 $331.13 Median $512.86 Typical High $741.31 | Professional | None | $331.13 | $512.86 | $741.31 |
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 $74.13 Median $74.13 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $426.58 | Professional | 54 · Surgery only | $275.42 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $398.11 |
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 $6,451MT $1,460
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.