How much rates vary
Facilitymedian $3,090 · 10th to 90th $537 to $5,754Professionalmedian $302 · 10th to 90th $224 to $1,862
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 $1,000.00 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $354.81 | Professional | None | $251.19 | $269.15 | $354.81 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,025.60 | Facility | None | $2,398.83 | $3,890.45 | $6,025.60 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $416.87 | Professional | None | $245.47 | $331.13 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $1,047.13 | Facility | None | $616.60 | $741.31 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $316.23 | Professional | None | $245.47 | $302.00 | $316.23 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,318.26 Typical High $4,168.69 | Facility | None | $269.15 | $1,318.26 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $1,862.09 | Professional | None | $239.88 | $316.23 | $1,862.09 |
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 $208.93 Median $269.15 Typical High $416.87 | Professional | None | $208.93 | $269.15 | $416.87 |
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 $123.03 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $48.98 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | 54 · Surgery only | $186.21 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $40.74 Typical High $46.77 | Professional | 55 · Aftercare only | $37.15 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $31.62 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $31.62 |
Where Oklahoma sits
The same service costs 5.6 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 $4,320MT $769
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.