How much rates vary
Facilitymedian $1,380 · 10th to 90th $479 to $6,026Professionalmedian $603 · 10th to 90th $331 to $6,607
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 $309.03 Median $562.34 Typical High $575.44 | Professional | None | $309.03 | $562.34 | $575.44 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $549.54 Median $1,445.44 Typical High $2,570.40 | Facility | None | $549.54 | $1,445.44 | $2,570.40 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $812.83 | Professional | None | $173.78 | $239.88 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,047.13 Typical High $1,258.93 | Facility | None | $407.38 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,047.13 | Professional | None | $478.63 | $588.84 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $5,888.44 | Facility | None | $478.63 | $851.14 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $3,630.78 Typical High $6,606.93 | Professional | None | $537.03 | $3,630.78 | $6,606.93 |
United Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $6,025.60 | Facility | None | $912.01 | $2,951.21 | $6,025.60 |
United Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $741.31 | Professional | None | $302.00 | $512.86 | $741.31 |
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 $154.88 Median $177.83 Typical High $281.84 | Professional | 52 · Reduced service | $154.88 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $114.82 | Professional | 53 · Discontinued | $61.66 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $426.58 | Professional | 54 · Surgery only | $234.42 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | 55 · Aftercare only | $46.77 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $57.54 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $245.47 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $218.78 | $245.47 | $398.11 |
Where Oklahoma sits
The same service costs 3.2 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 $4,968MT $1,567
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.