How much rates vary
Facilitymedian $182 · 10th to 90th $95 to $631Professionalmedian $170 · 10th to 90th $93 to $282
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 $104.71 Median $1,000.00 Typical High $2,041.74 | Facility | None | $104.71 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $181.97 | Professional | None | $104.71 | $138.04 | $181.97 |
BCBS Arkansas Setting Facility Modifier None Typical Low $104.71 Median $181.97 Typical High $251.19 | Facility | None | $104.71 | $181.97 | $251.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $229.09 | Professional | None | $93.33 | $123.03 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $134.90 | Facility | None | $95.50 | $104.71 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $281.84 | Professional | None | $100.00 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $309.03 | Professional | None | $93.33 | $169.82 | $309.03 |
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 $52.48 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $104.71 Typical High $131.83 | Professional | 54 · Surgery only | $79.43 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.89 Typical High $26.30 | Professional | 55 · Aftercare only | $15.85 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.80 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.47 | $13.80 | $17.78 |
Where Arkansas sits
The same service costs 11.6 times more in Hawaii than in Maryland. 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
HI $3,027MD $261
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.