How much rates vary
Facilitymedian $4,677 · 10th to 90th $912 to $9,772Professionalmedian $708 · 10th to 90th $550 to $4,786
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 $1,348.96 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,318.26 Median $6,025.60 Typical High $10,471.29 | Facility | None | $1,318.26 | $6,025.60 | $10,471.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $831.76 | Professional | None | $602.56 | $812.83 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,698.24 | Facility | None | $870.96 | $1,380.38 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $912.01 | Professional | None | $562.34 | $707.95 | $912.01 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $6,456.54 | Facility | None | $831.76 | $1,148.15 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $4,786.30 | Professional | None | $549.54 | $707.95 | $4,786.30 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,025.60 | Facility | None | $933.25 | $2,951.21 | $6,025.60 |
United Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $812.83 | Professional | None | $524.81 | $630.96 | $812.83 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 54 · Surgery only | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $489.78 |
Where Oklahoma sits
The same service costs 3.2 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 $5,959MT $1,888
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.