How much rates vary
Facilitymedian $4,074 · 10th to 90th $631 to $10,233Professionalmedian $490 · 10th to 90th $331 to $2,455
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 $338.84 Median $398.11 Typical High $501.19 | Professional | None | $338.84 | $398.11 | $501.19 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,348.96 Median $6,760.83 Typical High $11,748.98 | Facility | None | $1,348.96 | $6,760.83 | $11,748.98 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $645.65 | Professional | None | $309.03 | $467.74 | $645.65 |
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 $398.11 Median $467.74 Typical High $562.34 | Professional | None | $398.11 | $467.74 | $562.34 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $6,025.60 | Facility | None | $457.09 | $691.83 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $2,454.71 Typical High $3,630.78 | Professional | None | $426.58 | $2,454.71 | $3,630.78 |
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 $288.40 Median $407.38 Typical High $588.84 | Professional | None | $288.40 | $407.38 | $588.84 |
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 $169.82 Median $169.82 Typical High $251.19 | Professional | 52 · Reduced service | $169.82 | $169.82 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $380.19 | Professional | 54 · Surgery only | $257.04 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $239.88 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $239.88 | $239.88 | $354.81 |
Where Oklahoma sits
The same service costs 5.3 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 $6,378MT $1,213
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.