How much rates vary
Facilitymedian $2,512 · 10th to 90th $417 to $4,467Professionalmedian $204 · 10th to 90th $155 to $1,995
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 $501.19 Median $2,454.71 Typical High $7,585.78 | Facility | None | $501.19 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $229.09 | Professional | None | $165.96 | $181.97 | $229.09 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $4,677.35 | Facility | None | $1,819.70 | $3,019.95 | $4,677.35 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $281.84 | Professional | None | $162.18 | $218.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $724.44 Typical High $1,047.13 | Facility | None | $407.38 | $724.44 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $281.84 | Professional | None | $199.53 | $204.17 | $281.84 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $4,073.80 | Facility | None | $323.59 | $645.65 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $1,995.26 | Professional | None | $158.49 | $239.88 | $1,995.26 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,630.78 | Facility | None | $467.74 | $1,995.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $288.40 | Professional | None | $141.25 | $186.21 | $288.40 |
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 $83.18 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $134.90 Typical High $151.36 | Professional | 54 · Surgery only | $125.89 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $25.12 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $18.20 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.60 | $18.20 | $20.42 |
Where Oklahoma sits
The same service costs 7.7 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 $4,047MT $526
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.