How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,862 to $22,387Professionalmedian $1,318 · 10th to 90th $1,000 to $7,943
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 $1,202.26 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,202.26 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,202.26 | $1,380.38 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $8,912.51 Median $14,454.40 Typical High $22,387.21 | Facility | None | $8,912.51 | $14,454.40 | $22,387.21 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,412.54 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $8,317.64 | Facility | None | $549.54 | $891.25 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,318.26 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,235.94 Typical High $31,622.78 | Facility | None | $1,445.44 | $3,235.94 | $31,622.78 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $7,943.28 | Professional | None | $1,047.13 | $1,584.89 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $33,884.42 | Facility | None | $1,905.46 | $7,762.47 | $33,884.42 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $933.25 | $1,202.26 | $1,862.09 |
2 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 $812.83 Median $912.01 Typical High $933.25 | Professional | 54 · Surgery only | $812.83 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $851.14 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $758.58 | $851.14 | $870.96 |
Where Oklahoma sits
The same service costs 8.7 times more in Maine than in Kentucky. 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 $27,149KY $3,127
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.