How much rates vary
Facilitymedian $1,862 · 10th to 90th $490 to $4,074Professionalmedian $186 · 10th to 90th $89 to $617
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 $501.19 Median $2,511.89 Typical High $7,585.78 | Facility | None | $501.19 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $165.96 Typical High $380.19 | Professional | None | $74.13 | $165.96 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,995.26 | $3,090.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $229.09 | Professional | None | $93.33 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $1,659.59 | Facility | None | $575.44 | $1,380.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $245.47 | Professional | None | $89.13 | $181.97 | $245.47 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $851.14 Typical High $4,265.80 | Facility | None | $77.62 | $851.14 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $616.60 Typical High $1,318.26 | Professional | None | $177.83 | $616.60 | $1,318.26 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $251.19 | Professional | None | $75.86 | $141.25 | $251.19 |
5 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 $37.15 Median $37.15 Typical High $83.18 | Professional | 52 · Reduced service | $37.15 | $37.15 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $33.11 | Professional | 53 · Discontinued | $14.79 | $14.79 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | 54 · Surgery only | $54.95 | $54.95 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $24.55 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $16.60 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $16.60 |
Where Oklahoma sits
The same service costs 9.7 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 $4,351MT $447
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.