How much rates vary
Facilitymedian $8,913 · 10th to 90th $955 to $17,783Professionalmedian $759 · 10th to 90th $562 to $4,677
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 $4,365.16 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $776.25 | Professional | None | $616.60 | $676.08 | $776.25 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $7,943.28 Median $13,182.57 Typical High $20,417.38 | Facility | None | $7,943.28 | $13,182.57 | $20,417.38 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,071.52 | Professional | None | $616.60 | $831.76 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $3,311.31 Typical High $3,801.89 | Facility | None | $776.25 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $891.25 | Professional | None | $645.65 | $776.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,238.72 Typical High $10,232.93 | Facility | None | $891.25 | $2,238.72 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $4,677.35 | Professional | None | $575.44 | $741.31 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,000.00 | Professional | None | $537.03 | $676.08 | $1,000.00 |
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 $309.03 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $309.03 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $457.09 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $69.18 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $478.63 |
Where Oklahoma sits
The same service costs 5.4 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 $11,084MT $2,070
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.