How much rates vary
Facilitymedian $5,248 · 10th to 90th $977 to $10,000Professionalmedian $575 · 10th to 90th $457 to $3,548
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 $724.44 Median $3,890.45 Typical High $12,589.25 | Facility | None | $724.44 | $3,890.45 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $707.95 | Professional | None | $467.74 | $512.86 | $707.95 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,073.80 Median $6,760.83 Typical High $10,471.29 | Facility | None | $4,073.80 | $6,760.83 | $10,471.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $660.69 | Professional | None | $467.74 | $630.96 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,073.80 Typical High $5,011.87 | Facility | None | $630.96 | $4,073.80 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $724.44 | Professional | None | $501.19 | $575.44 | $724.44 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $2,137.96 Typical High $6,165.95 | Facility | None | $512.86 | $2,137.96 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $3,548.13 | Professional | None | $446.68 | $602.56 | $3,548.13 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $794.33 | Professional | None | $398.11 | $512.86 | $794.33 |
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 $234.42 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $46.77 | $51.29 | $52.48 |
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 $8,723MT $1,483
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.