How much rates vary
Facilitymedian $5,888 · 10th to 90th $891 to $13,183Professionalmedian $339 · 10th to 90th $251 to $2,089
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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $309.03 | Professional | None | $275.42 | $302.00 | $309.03 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,073.80 Median $6,760.83 Typical High $10,471.29 | Facility | None | $4,073.80 | $6,760.83 | $10,471.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $467.74 | Professional | None | $269.15 | $363.08 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,630.78 Typical High $4,265.80 | Facility | None | $630.96 | $3,630.78 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $446.68 | Professional | None | $295.12 | $338.84 | $446.68 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $2,818.38 Typical High $15,488.17 | Facility | None | $446.68 | $2,818.38 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $2,089.30 | Professional | None | $263.03 | $363.08 | $2,089.30 |
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 $234.42 Median $302.00 Typical High $457.09 | Professional | None | $234.42 | $302.00 | $457.09 |
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 $134.90 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | 54 · Surgery only | $204.17 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $30.20 |
Where Oklahoma sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.