How much rates vary
Facilitymedian $7,413 · 10th to 90th $955 to $14,791Professionalmedian $646 · 10th to 90th $479 to $5,248
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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $724.44 | Professional | None | $575.44 | $575.44 | $724.44 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $5,623.41 Median $9,332.54 Typical High $14,454.40 | Facility | None | $5,623.41 | $9,332.54 | $14,454.40 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $776.25 | Professional | None | $524.81 | $707.95 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,801.89 Typical High $4,677.35 | Facility | None | $630.96 | $3,801.89 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | None | $549.54 | $660.69 | $794.33 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,951.21 Typical High $15,848.93 | Facility | None | $758.58 | $2,951.21 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $5,248.07 | Professional | None | $478.63 | $616.60 | $5,248.07 |
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 $562.34 Typical High $812.83 | Professional | None | $457.09 | $562.34 | $812.83 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Where Oklahoma sits
The same service costs 7.9 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 $13,941MT $1,762
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.