How much rates vary
Facilitymedian $813 · 10th to 90th $105 to $1,995Professionalmedian $537 · 10th to 90th $407 to $692
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 $489.78 Median $1,000.00 Typical High $2,041.74 | Facility | None | $489.78 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $537.03 | Professional | None | $426.58 | $489.78 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
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 $457.09 Median $501.19 Typical High $676.08 | Professional | None | $457.09 | $501.19 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $794.33 Typical High $933.25 | Facility | None | $380.19 | $794.33 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $724.44 | Professional | None | $346.74 | $630.96 | $724.44 |
Qualchoice Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | None | $79.43 | $131.83 | $776.25 |
United Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $831.76 | Professional | None | $363.08 | $457.09 | $831.76 |
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 $213.80 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $316.23 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $42.66 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $346.74 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $295.12 | $346.74 | $380.19 |
Where Arkansas sits
The same service costs 5.3 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 $4,377FL $831
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.