How much rates vary
Facilitymedian $2,630 · 10th to 90th $427 to $5,754Professionalmedian $316 · 10th to 90th $186 to $1,349
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 $831.76 Median $3,090.30 Typical High $8,317.64 | Facility | None | $831.76 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $363.08 | Professional | None | $194.98 | $346.74 | $363.08 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $741.31 Median $3,019.95 Typical High $5,248.07 | Facility | None | $741.31 | $3,019.95 | $5,248.07 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $173.78 Median $316.23 Typical High $436.52 | Professional | None | $173.78 | $316.23 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $1,445.44 | Facility | None | $512.86 | $1,202.26 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $354.81 | Professional | None | $204.17 | $288.40 | $354.81 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $512.86 Typical High $5,888.44 | Facility | None | $257.04 | $512.86 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $1,348.96 Typical High $2,454.71 | Professional | None | $281.84 | $1,348.96 | $2,454.71 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,165.95 | Facility | None | $933.25 | $2,951.21 | $6,165.95 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $363.08 | Professional | None | $158.49 | $263.03 | $363.08 |
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 $97.72 Median $102.33 Typical High $181.97 | Professional | 52 · Reduced service | $97.72 | $102.33 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $72.44 | Professional | 53 · Discontinued | $38.90 | $40.74 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $151.36 Typical High $269.15 | Professional | 54 · Surgery only | $147.91 | $151.36 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $30.20 Typical High $53.70 | Professional | 55 · Aftercare only | $29.51 | $30.20 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $20.42 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.50 | $20.42 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $141.25 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $138.04 | $141.25 | $251.19 |
Where Oklahoma sits
The same service costs 6.3 times more in Colorado 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
CO $4,654MT $736
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.