How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,820 to $15,136Professionalmedian $6,457 · 10th to 90th $479 to $42,658
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 $691.83 Median $6,309.57 Typical High $15,848.93 | Facility | None | $691.83 | $6,309.57 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $5,128.61 Typical High $6,760.83 | Professional | None | $478.63 | $5,128.61 | $6,760.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,025.60 Median $10,000.00 Typical High $15,488.17 | Facility | None | $6,025.60 | $10,000.00 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $8,317.64 Typical High $9,772.37 | Facility | None | $630.96 | $8,317.64 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $7,413.10 | Professional | None | $549.54 | $812.83 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $6,309.57 Typical High $14,454.40 | Facility | None | $501.19 | $6,309.57 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $6,309.57 Median $21,379.62 Typical High $42,657.95 | Professional | None | $6,309.57 | $21,379.62 | $42,657.95 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $15,135.61 | Facility | None | $1,905.46 | $7,762.47 | $15,135.61 |
United Setting Professional Modifier None Typical Low $407.38 Median $4,265.80 Typical High $9,120.11 | Professional | None | $407.38 | $4,265.80 | $9,120.11 |
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 $239.88 Median $645.65 Typical High $3,162.28 | Professional | 52 · Reduced service | $239.88 | $645.65 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $257.04 Typical High $1,288.25 | Professional | 53 · Discontinued | $95.50 | $257.04 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $977.24 Typical High $4,786.30 | Professional | 54 · Surgery only | $363.08 | $977.24 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $194.98 Typical High $954.99 | Professional | 55 · Aftercare only | $72.44 | $194.98 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $128.82 Typical High $630.96 | Professional | 56 · Pre-op care only | $47.86 | $128.82 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $912.01 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $338.84 | $912.01 | $4,466.84 |
Where Oklahoma sits
The same service costs 4.1 times more in Iowa 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
IA $18,453DE $4,539
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.