How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,288 to $9,120Professionalmedian $871 · 10th to 90th $741 to $1,175
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 $870.96 Median $1,513.56 Typical High $2,454.71 | Facility | None | $870.96 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $870.96 | Professional | None | $676.08 | $870.96 | $870.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,786.30 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,786.30 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,023.29 | Professional | None | $776.25 | $851.14 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,466.84 Typical High $5,888.44 | Facility | None | $691.83 | $4,466.84 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,230.27 | Professional | None | $676.08 | $1,174.90 | $1,230.27 |
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 $602.56 Median $831.76 Typical High $1,380.38 | Professional | None | $602.56 | $831.76 | $1,380.38 |
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 $338.84 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $501.19 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $100.00 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $67.61 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $467.74 | $616.60 | $616.60 |
Where Arkansas sits
The same service costs 6.2 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 $14,513MT $2,350
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.