How much rates vary
Facilitymedian $5,129 · 10th to 90th $501 to $10,965Professionalmedian $398 · 10th to 90th $275 to $1,995
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 $954.99 Median $3,890.45 Typical High $12,589.25 | Facility | None | $954.99 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $416.87 | Professional | None | $275.42 | $331.13 | $416.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $12,302.69 | Facility | None | $4,786.30 | $7,943.28 | $12,302.69 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $537.03 | Professional | None | $251.19 | $389.05 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,187.76 | Facility | None | $630.96 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $467.74 | Professional | None | $316.23 | $389.05 | $467.74 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $6,025.60 | Facility | None | $371.54 | $602.56 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $1,995.26 Typical High $3,019.95 | Professional | None | $363.08 | $1,995.26 | $3,019.95 |
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 $234.42 Median $346.74 Typical High $489.78 | Professional | None | $234.42 | $346.74 | $489.78 |
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 $138.04 Median $138.04 Typical High $208.93 | Professional | 52 · Reduced service | $138.04 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $208.93 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $295.12 |
Where Oklahoma sits
The same service costs 6.3 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 $6,296MT $1,002
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.