How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,445 to $19,498Professionalmedian $1,230 · 10th to 90th $891 to $7,413
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 $891.25 Median $912.01 Typical High $1,023.29 | Professional | None | $891.25 | $912.01 | $1,023.29 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $8,912.51 Median $14,791.08 Typical High $22,908.68 | Facility | None | $8,912.51 | $14,791.08 | $22,908.68 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,380.38 | Professional | None | $977.24 | $1,318.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,466.84 Typical High $5,248.07 | Facility | None | $512.86 | $4,466.84 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,230.27 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,230.27 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $7,413.10 | Professional | None | $891.25 | $1,174.90 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,380.38 | Professional | None | $851.14 | $1,023.29 | $1,380.38 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $177.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $89.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Oklahoma sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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 $10,992HI $2,489
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.