How much rates vary
Facilitymedian $1,318 · 10th to 90th $759 to $3,631Professionalmedian $468 · 10th to 90th $309 to $692
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 $354.81 Median $1,174.90 Typical High $2,041.74 | Facility | None | $354.81 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $512.86 | Professional | None | $354.81 | $426.58 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $691.83 | Professional | None | $331.13 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,412.54 | Facility | None | $512.86 | $1,071.52 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $812.83 | Professional | None | $288.40 | $501.19 | $812.83 |
Qualchoice Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $724.44 | Professional | None | $288.40 | $436.52 | $724.44 |
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 $173.78 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $173.78 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 53 · Discontinued | $70.79 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $263.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $52.48 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $35.48 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $245.47 | $295.12 | $363.08 |
Where Arkansas sits
The same service costs 5.3 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 $6,438MT $1,226
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.