How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,175 to $9,120Professionalmedian $813 · 10th to 90th $562 to $1,000
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 $741.31 Median $1,380.38 Typical High $2,454.71 | Facility | None | $741.31 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $741.31 | Professional | None | $575.44 | $741.31 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $851.14 Typical High $851.14 | Professional | None | $134.90 | $851.14 | $851.14 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,365.16 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $891.25 | Professional | None | $660.69 | $741.31 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,981.07 Typical High $5,011.87 | Facility | None | $562.34 | $3,981.07 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,122.02 | Professional | None | $575.44 | $1,000.00 | $1,122.02 |
Qualchoice Setting Professional Modifier None Typical Low $154.88 Median $977.24 Typical High $977.24 | Professional | None | $154.88 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,174.90 | Professional | None | $512.86 | $691.83 | $1,174.90 |
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 $288.40 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $114.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $57.54 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $524.81 | $524.81 |
Where Arkansas sits
The same service costs 6.8 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 $13,753MT $2,023
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.