How much rates vary
Facilitymedian $3,090 · 10th to 90th $324 to $6,761Professionalmedian $479 · 10th to 90th $204 to $1,862
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 $288.40 Median $1,513.56 Typical High $6,606.93 | Facility | None | $288.40 | $1,513.56 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $537.03 | Professional | None | $208.93 | $251.19 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $213.80 | Professional | None | $75.86 | $75.86 | $213.80 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $7,413.10 | Facility | None | $1,047.13 | $4,466.84 | $7,413.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $190.55 Median $478.63 Typical High $660.69 | Professional | None | $190.55 | $478.63 | $660.69 |
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 $302.00 Typical High $562.34 | Professional | None | $234.42 | $302.00 | $562.34 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $4,365.16 | Facility | None | $302.00 | $575.44 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $1,862.09 Typical High $3,630.78 | Professional | None | $309.03 | $1,862.09 | $3,630.78 |
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 $173.78 Median $302.00 Typical High $537.03 | Professional | None | $173.78 | $302.00 | $537.03 |
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 $104.71 Median $162.18 Typical High $269.15 | Professional | 52 · Reduced service | $104.71 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $64.57 Typical High $107.15 | Professional | 53 · Discontinued | $41.69 | $64.57 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $239.88 Typical High $407.38 | Professional | 54 · Surgery only | $158.49 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $48.98 Typical High $81.28 | Professional | 55 · Aftercare only | $31.62 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $32.36 Typical High $53.70 | Professional | 56 · Pre-op care only | $20.89 | $32.36 | $53.70 |
Where Oklahoma sits
The same service costs 4.1 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 $4,142MT $1,002
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.