How much rates vary
Facilitymedian $2,399 · 10th to 90th $302 to $4,467Professionalmedian $257 · 10th to 90th $78 to $1,047
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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $190.55 Typical High $302.00 | Professional | None | $81.28 | $190.55 | $302.00 |
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 $72.44 Median $213.80 Typical High $371.54 | Professional | None | $72.44 | $213.80 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $724.44 | Facility | None | $269.15 | $323.59 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $309.03 | Professional | None | $91.20 | $165.96 | $309.03 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $346.74 Typical High $3,981.07 | Facility | None | $107.15 | $346.74 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $1,047.13 Typical High $2,041.74 | Professional | None | $208.93 | $1,047.13 | $2,041.74 |
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 $66.07 Median $165.96 Typical High $288.40 | Professional | None | $66.07 | $165.96 | $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 $39.81 Median $79.43 Typical High $151.36 | Professional | 52 · Reduced service | $39.81 | $79.43 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $31.62 Typical High $60.26 | Professional | 53 · Discontinued | $16.22 | $31.62 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $120.23 Typical High $223.87 | Professional | 54 · Surgery only | $60.26 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $23.99 Typical High $44.67 | Professional | 55 · Aftercare only | $12.02 | $23.99 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $15.85 Typical High $30.20 | Professional | 56 · Pre-op care only | $8.13 | $15.85 | $30.20 |
Where Oklahoma sits
The same service costs 9.0 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 $4,579MT $507
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.