How much rates vary
Facilitymedian $776 · 10th to 90th $158 to $1,995Professionalmedian $240 · 10th to 90th $148 to $1,122
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 $194.98 Median $1,778.28 Typical High $6,760.83 | Facility | None | $194.98 | $1,778.28 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $281.84 | Professional | None | $138.04 | $223.87 | $281.84 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $1,479.11 | Facility | None | $575.44 | $954.99 | $1,479.11 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $288.40 | Professional | None | $158.49 | $208.93 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $467.74 | Facility | None | $141.25 | $169.82 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $295.12 | Professional | None | $151.36 | $213.80 | $295.12 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $1,659.59 | Facility | None | $109.65 | $275.42 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $1,122.02 Typical High $1,659.59 | Professional | None | $218.78 | $1,122.02 | $1,659.59 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $331.13 | Professional | None | $128.82 | $194.98 | $331.13 |
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 $67.61 Median $85.11 Typical High $138.04 | Professional | 52 · Reduced service | $67.61 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $27.54 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $125.89 Typical High $204.17 | Professional | 54 · Surgery only | $102.33 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $25.12 Typical High $40.74 | Professional | 55 · Aftercare only | $20.42 | $25.12 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.98 Typical High $27.54 | Professional | 56 · Pre-op care only | $13.80 | $16.98 | $27.54 |
Where Oklahoma sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.