How much rates vary
Facilitymedian $4,467 · 10th to 90th $708 to $10,965Professionalmedian $537 · 10th to 90th $380 to $2,754
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 $3,981.07 Typical High $12,589.25 | Facility | None | $1,000.00 | $3,981.07 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | None | $380.19 | $380.19 | $562.34 |
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 $346.74 Median $524.81 Typical High $724.44 | Professional | None | $346.74 | $524.81 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,981.07 Typical High $4,677.35 | Facility | None | $630.96 | $3,981.07 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | None | $446.68 | $524.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $6,025.60 | Facility | None | $501.19 | $758.58 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $2,754.23 Typical High $4,073.80 | Professional | None | $478.63 | $2,754.23 | $4,073.80 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $6,309.57 | Facility | None | $933.25 | $3,162.28 | $6,309.57 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $660.69 | Professional | None | $316.23 | $457.09 | $660.69 |
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 $190.55 Median $190.55 Typical High $281.84 | Professional | 52 · Reduced service | $190.55 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $426.58 | Professional | 54 · Surgery only | $281.84 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $398.11 |
Where Oklahoma sits
The same service costs 6.4 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 $8,723MT $1,361
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.