How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,122 to $27,542Professionalmedian $933 · 10th to 90th $692 to $5,754
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 $1,288.25 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 $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $12,302.69 Median $20,417.38 Typical High $32,359.37 | Facility | None | $12,302.69 | $20,417.38 | $32,359.37 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,122.02 | Professional | None | $741.31 | $1,000.00 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $5,495.41 Typical High $6,918.31 | Facility | None | $776.25 | $5,495.41 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,174.90 | Professional | None | $812.83 | $933.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $3,019.95 Typical High $15,848.93 | Facility | None | $1,071.52 | $3,019.95 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $5,754.40 | Professional | None | $691.83 | $977.24 | $5,754.40 |
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 $645.65 Median $812.83 Typical High $1,148.15 | Professional | None | $645.65 | $812.83 | $1,148.15 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Where Oklahoma sits
The same service costs 5.9 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 $14,644MT $2,489
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.