How much rates vary
Facilitymedian $933 · 10th to 90th $309 to $1,995Professionalmedian $661 · 10th to 90th $513 to $871
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 $602.56 Median $1,174.90 Typical High $2,041.74 | Facility | None | $602.56 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $741.31 | Professional | None | $524.81 | $645.65 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | None | $660.69 | $660.69 | $794.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,995.26 | Facility | None | $812.83 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $776.25 | Professional | None | $549.54 | $602.56 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $977.24 | Facility | None | $562.34 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $870.96 | Professional | None | $501.19 | $831.76 | $870.96 |
Qualchoice Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $912.01 | Professional | None | $446.68 | $776.25 | $912.01 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,659.59 | Facility | None | $269.15 | $389.05 | $1,659.59 |
United Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,000.00 | Professional | None | $426.58 | $602.56 | $1,000.00 |
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 $251.19 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $457.09 Typical High $478.63 | Professional | 54 · Surgery only | $380.19 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $91.20 Typical High $95.50 | Professional | 55 · Aftercare only | $75.86 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $50.12 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $426.58 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $354.81 | $426.58 | $446.68 |
Where Arkansas sits
The same service costs 4.0 times more in Colorado than in Florida. 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 $4,440FL $1,118
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.