How much rates vary
Facilitymedian $2,138 · 10th to 90th $407 to $5,495Professionalmedian $741 · 10th to 90th $166 to $3,090
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 $933.25 Median $3,090.30 Typical High $8,317.64 | Facility | None | $933.25 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $912.01 Typical High $933.25 | Professional | None | $169.82 | $912.01 | $933.25 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $4,365.16 | Facility | None | $537.03 | $2,511.89 | $4,365.16 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $1,096.48 | Professional | None | $147.91 | $338.84 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,445.44 | Facility | None | $870.96 | $1,230.27 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $870.96 | Professional | None | $173.78 | $354.81 | $870.96 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $5,495.41 | Facility | None | $346.74 | $1,023.29 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $3,090.30 Typical High $6,165.95 | Professional | None | $602.56 | $3,090.30 | $6,165.95 |
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 $138.04 Median $489.78 Typical High $851.14 | Professional | None | $138.04 | $489.78 | $851.14 |
2 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 54 · Surgery only Typical Low $125.89 Median $131.83 Typical High $707.95 | Professional | 54 · Surgery only | $125.89 | $131.83 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $123.03 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $117.49 | $123.03 | $660.69 |
Where Oklahoma sits
The same service costs 3.5 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 $4,667MT $1,347
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.