How much rates vary
Facilitymedian $8,128 · 10th to 90th $1,047 to $20,417Professionalmedian $891 · 10th to 90th $676 to $1,514
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 $3,801.89 Typical High $13,182.57 | Facility | None | $1,000.00 | $3,801.89 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,818.38 Median $13,182.57 Typical High $22,908.68 | Facility | None | $2,818.38 | $13,182.57 | $22,908.68 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $977.24 | Professional | None | $707.95 | $954.99 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $3,981.07 Typical High $4,677.35 | Facility | None | $776.25 | $3,981.07 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,096.48 | Professional | None | $776.25 | $891.25 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,023.29 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $12,022.64 | Professional | None | $660.69 | $851.14 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,096.48 | Professional | None | $616.60 | $776.25 | $1,096.48 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Where Oklahoma sits
The same service costs 5.7 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 $13,613MT $2,377
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.