How much rates vary
Facilitymedian $7,079 · 10th to 90th $912 to $14,454Professionalmedian $692 · 10th to 90th $501 to $4,365
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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $776.25 | Professional | None | $575.44 | $630.96 | $776.25 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $6,309.57 Median $10,232.93 Typical High $16,218.10 | Facility | None | $6,309.57 | $10,232.93 | $16,218.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,071.52 | Professional | None | $562.34 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,949.84 Typical High $2,344.23 | Facility | None | $776.25 | $1,949.84 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $794.33 | Professional | None | $602.56 | $724.44 | $794.33 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $8,709.64 | Facility | None | $794.33 | $1,584.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $4,365.16 | Professional | None | $524.81 | $676.08 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $8,511.38 | Facility | None | $1,230.27 | $4,073.80 | $8,511.38 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $912.01 | Professional | None | $489.78 | $616.60 | $912.01 |
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 $288.40 Median $316.23 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $426.58 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $85.11 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $63.10 Typical High $64.57 | Professional | 56 · Pre-op care only | $57.54 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $398.11 | $446.68 | $446.68 |
Where Oklahoma sits
The same service costs 4.0 times more in Oklahoma 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
OK $7,771MT $1,932
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.