How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,698 to $25,119Professionalmedian $1,660 · 10th to 90th $1,230 to $10,000
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 $1,445.44 Median $4,897.79 Typical High $14,125.38 | Facility | None | $1,445.44 | $4,897.79 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,479.11 | $1,659.59 |
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 $1,348.96 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,819.70 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,344.23 | Facility | None | $549.54 | $891.25 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,659.59 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $10,232.93 | Facility | None | $1,584.89 | $2,137.96 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $10,000.00 | Professional | None | $1,230.27 | $1,621.81 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,621.81 | $4,677.35 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,445.44 | $2,137.96 |
6 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 $660.69 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,047.13 |
Where Oklahoma sits
The same service costs 8.5 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 $28,081DE $3,299
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.