How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,288 to $10,471Professionalmedian $776 · 10th to 90th $646 to $1,175
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 $1,202.26 Median $4,073.80 Typical High $16,218.10 | Facility | None | $1,202.26 | $4,073.80 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1,445.44 Median $6,025.60 Typical High $10,471.29 | Facility | None | $1,445.44 | $6,025.60 | $10,471.29 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $891.25 | Professional | None | $645.65 | $870.96 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,466.84 Typical High $5,128.61 | Facility | None | $630.96 | $4,466.84 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $977.24 | Professional | None | $707.95 | $758.58 | $977.24 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,981.07 Typical High $10,471.29 | Facility | None | $741.31 | $3,981.07 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $5,128.61 | Professional | None | $602.56 | $758.58 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $977.24 | Professional | None | $575.44 | $707.95 | $977.24 |
5 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 $363.08 Median $363.08 Typical High $371.54 | Professional | 52 · Reduced service | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Where Oklahoma sits
The same service costs 5.9 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 $12,304MT $2,095
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.