How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,349 to $8,318Professionalmedian $1,549 · 10th to 90th $1,259 to $2,089
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 $1,174.90 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,548.82 | $1,548.82 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,265.80 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,479.11 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,162.28 Typical High $4,168.69 | Facility | None | $794.33 | $3,162.28 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,202.26 | $2,041.74 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,380.38 | $2,398.83 |
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 $588.84 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $588.84 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $234.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $870.96 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $117.49 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $812.83 | $1,071.52 | $1,071.52 |
Where Arkansas sits
The same service costs 4.0 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 $14,661HI $3,664
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.