How much rates vary
Facilitymedian $3,020 · 10th to 90th $407 to $6,457Professionalmedian $832 · 10th to 90th $91 to $5,888
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 $758.58 Median $2,511.89 Typical High $7,585.78 | Facility | None | $758.58 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $257.04 Typical High $870.96 | Professional | None | $91.20 | $257.04 | $870.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,818.38 Median $4,677.35 Typical High $7,244.36 | Facility | None | $2,818.38 | $4,677.35 | $7,244.36 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $1,148.15 | Professional | None | $102.33 | $194.98 | $1,148.15 |
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 $104.71 Median $165.96 Typical High $870.96 | Professional | None | $104.71 | $165.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $524.81 Typical High $4,073.80 | Facility | None | $134.90 | $524.81 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $2,951.21 Typical High $5,888.44 | Professional | None | $457.09 | $2,951.21 | $5,888.44 |
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 $251.19 Typical High $1,000.00 | Professional | None | $75.86 | $251.19 | $1,000.00 |
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 $45.71 Median $112.20 Typical High $436.52 | Professional | 52 · Reduced service | $45.71 | $112.20 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $45.71 Typical High $173.78 | Professional | 53 · Discontinued | $18.62 | $45.71 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $169.82 Typical High $645.65 | Professional | 54 · Surgery only | $69.18 | $169.82 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $33.88 Typical High $128.82 | Professional | 55 · Aftercare only | $13.80 | $33.88 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $22.91 Typical High $87.10 | Professional | 56 · Pre-op care only | $9.12 | $22.91 | $87.10 |
Where Oklahoma sits
The same service costs 7.1 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 $4,667MT $656
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.