How much rates vary
Facilitymedian $8,318 · 10th to 90th $933 to $18,197Professionalmedian $676 · 10th to 90th $501 to $1,230
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 $707.95 Median $3,890.45 Typical High $13,182.57 | Facility | None | $707.95 | $3,890.45 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None | $588.84 | $588.84 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,511.89 Median $11,481.54 Typical High $19,952.62 | Facility | None | $2,511.89 | $11,481.54 | $19,952.62 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $741.31 | Professional | None | $537.03 | $724.44 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $5,128.61 Typical High $6,025.60 | Facility | None | $776.25 | $5,128.61 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $758.58 | Professional | None | $549.54 | $676.08 | $758.58 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $15,848.93 | Facility | None | $741.31 | $2,951.21 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $4,265.80 | Professional | None | $478.63 | $630.96 | $4,265.80 |
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 $457.09 Median $575.44 Typical High $831.76 | Professional | None | $457.09 | $575.44 | $831.76 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Where Oklahoma sits
The same service costs 7.5 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 $13,659MT $1,825
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.