How much rates vary
Facilitymedian $1,950 · 10th to 90th $692 to $5,248Professionalmedian $1,000 · 10th to 90th $537 to $1,514
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 $758.58 Median $1,288.25 Typical High $2,454.71 | Facility | None | $758.58 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Professional | None | $707.95 | $1,096.48 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Arkansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,754.23 Typical High $3,548.13 | Facility | None | $512.86 | $2,754.23 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,479.11 Typical High $1,737.80 | Professional | None | $549.54 | $1,479.11 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $6,918.31 | Facility | None | $1,479.11 | $2,041.74 | $6,918.31 |
United Setting Professional Modifier None Typical Low $363.08 Median $933.25 Typical High $1,778.28 | Professional | None | $363.08 | $933.25 | $1,778.28 |
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 $331.13 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $331.13 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $131.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $501.19 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $100.00 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $66.07 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $467.74 | $758.58 | $758.58 |
Where Arkansas sits
The same service costs 6.0 times more in Colorado than in Hawaii. 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 $12,924HI $2,150
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.