How much rates vary
Facilitymedian $12,589 · 10th to 90th $1,995 to $25,704Professionalmedian $2,188 · 10th to 90th $1,622 to $13,183
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 $1,288.25 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,288.25 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,778.28 | $1,995.26 | $2,041.74 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $11,481.54 Median $19,054.61 Typical High $30,199.52 | Facility | None | $11,481.54 | $19,054.61 | $30,199.52 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,737.80 | $2,398.83 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,691.53 | Facility | None | $549.54 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,238.72 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $14,454.40 | Facility | None | $1,905.46 | $2,818.38 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $13,182.57 | Professional | None | $1,659.59 | $2,187.76 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,244.36 Typical High $14,454.40 | Facility | None | $1,905.46 | $7,244.36 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,548.82 | $1,949.84 | $2,884.03 |
4 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 54 · Surgery only Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,318.26 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $263.03 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,380.38 | $1,380.38 |
Where Oklahoma sits
The same service costs 7.2 times more in Maine than in Delaware. 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
ME $28,702DE $3,966
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.