How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,000 to $8,913Professionalmedian $871 · 10th to 90th $646 to $5,370
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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $707.95 Median $933.25 Typical High $954.99 | Professional | None | $707.95 | $933.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,258.93 | Facility | None | $630.96 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,023.29 | Professional | None | $758.58 | $891.25 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $6,025.60 | Facility | None | $870.96 | $1,148.15 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $5,370.32 | Professional | None | $645.65 | $851.14 | $5,370.32 |
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 $602.56 Median $758.58 Typical High $1,000.00 | Professional | None | $602.56 | $758.58 | $1,000.00 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Where Oklahoma sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.