How much rates vary
Facilitymedian $4,786 · 10th to 90th $977 to $9,120Professionalmedian $794 · 10th to 90th $617 to $5,248
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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,890.45 | Professional | None | $758.58 | $758.58 | $3,890.45 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $10,000.00 | Facility | None | $3,890.45 | $6,456.54 | $10,000.00 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $912.01 | Professional | None | $676.08 | $891.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,698.24 | Facility | None | $776.25 | $1,380.38 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $977.24 | Professional | None | $575.44 | $794.33 | $977.24 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $6,456.54 | Facility | None | $870.96 | $1,148.15 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $5,248.07 | Professional | None | $602.56 | $758.58 | $5,248.07 |
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 $575.44 Median $707.95 Typical High $912.01 | Professional | None | $575.44 | $707.95 | $912.01 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Where Oklahoma sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.