How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,000 to $15,849Professionalmedian $741 · 10th to 90th $562 to $4,571
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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,187.76 Median $9,332.54 Typical High $16,218.10 | Facility | None | $2,187.76 | $9,332.54 | $16,218.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $812.83 | Professional | None | $588.84 | $794.33 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $10,232.93 Typical High $12,022.64 | Facility | None | $776.25 | $10,232.93 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $933.25 | Professional | None | $660.69 | $741.31 | $933.25 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $2,951.21 Typical High $15,848.93 | Facility | None | $851.14 | $2,951.21 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $4,570.88 | Professional | None | $537.03 | $707.95 | $4,570.88 |
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 $512.86 Median $630.96 Typical High $912.01 | Professional | None | $512.86 | $630.96 | $912.01 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
Where Oklahoma sits
The same service costs 10.1 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 $19,890MT $1,977
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.