How much rates vary
Facilitymedian $1,479 · 10th to 90th $372 to $4,677Professionalmedian $245 · 10th to 90th $191 to $2,138
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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $288.40 | Professional | None | $194.98 | $213.80 | $288.40 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $2,187.76 | Facility | None | $1,174.90 | $1,548.82 | $2,187.76 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $288.40 | Professional | None | $190.55 | $257.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,202.26 | Facility | None | $512.86 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None | $234.42 | $234.42 | $354.81 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $4,466.84 | Facility | None | $309.03 | $660.69 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $2,137.96 | Professional | None | $186.21 | $323.59 | $2,137.96 |
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 $165.96 Median $218.78 Typical High $346.74 | Professional | None | $165.96 | $218.78 | $346.74 |
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 $97.72 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | 54 · Surgery only | $147.91 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $29.51 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.38 Typical High $24.55 | Professional | 56 · Pre-op care only | $19.50 | $21.38 | $24.55 |
Where Oklahoma sits
The same service costs 6.8 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 $4,179MT $618
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.