How much rates vary
Facilitymedian $4,365 · 10th to 90th $562 to $8,710Professionalmedian $427 · 10th to 90th $316 to $813
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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | None | $316.23 | $316.23 | $323.59 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,584.89 Median $5,754.40 Typical High $9,549.93 | Facility | None | $1,584.89 | $5,754.40 | $9,549.93 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $489.78 | Professional | None | $338.84 | $457.09 | $489.78 |
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 $354.81 Median $457.09 Typical High $501.19 | Professional | None | $354.81 | $457.09 | $501.19 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $6,025.60 | Facility | None | $501.19 | $1,148.15 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $4,168.69 | Professional | None | $302.00 | $407.38 | $4,168.69 |
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 $295.12 Median $354.81 Typical High $489.78 | Professional | None | $295.12 | $354.81 | $489.78 |
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 $158.49 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $63.10 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $223.87 |
Where Oklahoma sits
The same service costs 4.0 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 $4,866MT $1,221
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.