How much rates vary
Facilitymedian $2,138 · 10th to 90th $457 to $4,266Professionalmedian $617 · 10th to 90th $76 to $2,138
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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $457.09 Typical High $645.65 | Professional | None | $75.86 | $457.09 | $645.65 |
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 $70.79 Median $575.44 Typical High $794.33 | Professional | None | $70.79 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,258.93 | Facility | None | $630.96 | $1,000.00 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $630.96 | Professional | None | $85.11 | $138.04 | $630.96 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $741.31 Typical High $3,890.45 | Facility | None | $102.33 | $741.31 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $2,137.96 Typical High $4,265.80 | Professional | None | $549.54 | $2,137.96 | $4,265.80 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $63.10 Median $173.78 Typical High $724.44 | Professional | None | $63.10 | $173.78 | $724.44 |
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 $38.02 Median $100.00 Typical High $316.23 | Professional | 52 · Reduced service | $38.02 | $100.00 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $39.81 Typical High $125.89 | Professional | 53 · Discontinued | $15.14 | $39.81 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $151.36 Typical High $478.63 | Professional | 54 · Surgery only | $56.23 | $151.36 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $30.20 Typical High $95.50 | Professional | 55 · Aftercare only | $11.22 | $30.20 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $19.95 Typical High $63.10 | Professional | 56 · Pre-op care only | $7.59 | $19.95 | $63.10 |
Where Oklahoma sits
The same service costs 5.6 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 $4,728MT $843
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.