How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,175 to $8,318Professionalmedian $832 · 10th to 90th $692 to $1,096
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 $812.83 Median $1,380.38 Typical High $2,454.71 | Facility | None | $812.83 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | None | $616.60 | $812.83 | $812.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $9,120.11 | Facility | None | $5,128.61 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $954.99 | Professional | None | $724.44 | $794.33 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,073.80 Typical High $5,128.61 | Facility | None | $562.34 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,174.90 | Professional | None | $616.60 | $1,096.48 | $1,174.90 |
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 $562.34 Median $812.83 Typical High $1,318.26 | Professional | None | $562.34 | $812.83 | $1,318.26 |
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 $309.03 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $309.03 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $562.34 | $562.34 |
Where Arkansas sits
The same service costs 6.4 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 $13,837MT $2,168
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.