How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,096 to $14,791Professionalmedian $1,259 · 10th to 90th $955 to $2,138
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 $1,096.48 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,096.48 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,606.93 Median $10,964.78 Typical High $16,982.44 | Facility | None | $6,606.93 | $10,964.78 | $16,982.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,348.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,995.26 | Facility | None | $1,288.25 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,258.93 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $6,025.60 | Facility | None | $912.01 | $1,445.44 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $7,762.47 | Professional | None | $912.01 | $1,202.26 | $7,762.47 |
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 $870.96 Median $1,096.48 Typical High $1,548.82 | Professional | None | $870.96 | $1,096.48 | $1,548.82 |
2 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 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Where Oklahoma sits
The same service costs 3.7 times more in Alabama than in Maryland. 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
AL $8,874MD $2,372
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.