How much rates vary
Facilitymedian $10,000 · 10th to 90th $1,230 to $18,621Professionalmedian $1,072 · 10th to 90th $813 to $6,607
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 $1,174.90 Median $3,801.89 Typical High $13,182.57 | Facility | None | $1,174.90 | $3,801.89 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $8,128.31 Median $13,182.57 Typical High $20,417.38 | Facility | None | $8,128.31 | $13,182.57 | $20,417.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,288.25 | Professional | None | $851.14 | $1,148.15 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $9,549.93 Typical High $11,220.18 | Facility | None | $776.25 | $9,549.93 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,318.26 | Professional | None | $912.01 | $1,071.52 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,019.95 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $6,606.93 | Professional | None | $794.33 | $1,071.52 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $15,135.61 | Facility | None | $1,905.46 | $7,762.47 | $15,135.61 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,318.26 | Professional | None | $741.31 | $933.25 | $1,318.26 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Where Oklahoma sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.