How much rates vary
Facilitymedian $26,915 · 10th to 90th $776 to $60,256Professionalmedian $479 · 10th to 90th $339 to $3,890
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 $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $16,218.10 Median $40,738.03 Typical High $69,183.10 | Facility | None | $16,218.10 | $40,738.03 | $69,183.10 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $512.86 | Professional | None | $371.54 | $501.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $16,982.44 Typical High $20,892.96 | Facility | None | $512.86 | $16,982.44 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $602.56 | Professional | None | $426.58 | $478.63 | $602.56 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $7,762.47 Typical High $33,884.42 | Facility | None | $537.03 | $7,762.47 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $8,511.38 | Professional | None | $338.84 | $537.03 | $8,511.38 |
United Setting Facility Modifier None Typical Low $7,762.47 Median $19,498.45 Typical High $33,884.42 | Facility | None | $7,762.47 | $19,498.45 | $33,884.42 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $602.56 | Professional | None | $316.23 | $426.58 | $602.56 |
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 $169.82 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $67.61 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $239.88 | $239.88 | $239.88 |
Where Oklahoma sits
The same service costs 29.4 times more in Alaska 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
AK $37,066MT $1,262
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.