How much rates vary
Facilitymedian $2,138 · 10th to 90th $355 to $4,266Professionalmedian $1,202 · 10th to 90th $129 to $4,571
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 $128.82 Median $831.76 Typical High $1,348.96 | Professional | None | $128.82 | $831.76 | $1,348.96 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,265.80 | Facility | None | $1,659.59 | $2,691.53 | $4,265.80 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $128.82 Median $912.01 Typical High $1,698.24 | Professional | None | $128.82 | $912.01 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,174.90 | Facility | None | $630.96 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $1,380.38 | Professional | None | $144.54 | $245.47 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $1,288.25 Typical High $3,467.37 | Facility | None | $128.82 | $1,288.25 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $9,120.11 | Professional | None | $1,023.29 | $4,570.88 | $9,120.11 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $107.15 Median $724.44 Typical High $1,380.38 | Professional | None | $107.15 | $724.44 | $1,380.38 |
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 $64.57 Median $169.82 Typical High $676.08 | Professional | 52 · Reduced service | $64.57 | $169.82 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $67.61 Typical High $275.42 | Professional | 53 · Discontinued | $25.70 | $67.61 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $257.04 Typical High $1,023.29 | Professional | 54 · Surgery only | $95.50 | $257.04 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $51.29 Typical High $204.17 | Professional | 55 · Aftercare only | $19.05 | $51.29 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $33.88 Typical High $134.90 | Professional | 56 · Pre-op care only | $12.88 | $33.88 | $134.90 |
Where Oklahoma sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.