How much rates vary
Facilitymedian $3,020 · 10th to 90th $417 to $6,918Professionalmedian $372 · 10th to 90th $135 to $2,818
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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $416.87 | Professional | None | $138.04 | $263.03 | $416.87 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $954.99 Median $4,466.84 Typical High $7,413.10 | Facility | None | $954.99 | $4,466.84 | $7,413.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $549.54 | Professional | None | $154.88 | $295.12 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,202.26 | Facility | None | $407.38 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $436.52 | Professional | None | $158.49 | $218.78 | $436.52 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $537.03 Typical High $4,073.80 | Facility | None | $199.53 | $537.03 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,445.44 Typical High $2,818.38 | Professional | None | $213.80 | $1,445.44 | $2,818.38 |
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 $114.82 Median $204.17 Typical High $407.38 | Professional | None | $114.82 | $204.17 | $407.38 |
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 $69.18 Median $107.15 Typical High $208.93 | Professional | 52 · Reduced service | $69.18 | $107.15 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $42.66 Typical High $83.18 | Professional | 53 · Discontinued | $28.18 | $42.66 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $162.18 Typical High $309.03 | Professional | 54 · Surgery only | $104.71 | $162.18 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $32.36 Typical High $61.66 | Professional | 55 · Aftercare only | $20.89 | $32.36 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $21.38 Typical High $41.69 | Professional | 56 · Pre-op care only | $13.80 | $21.38 | $41.69 |
Where Oklahoma sits
The same service costs 5.7 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 $4,090MT $722
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.