How much rates vary
Facilitymedian $209 · 10th to 90th $100 to $513Professionalmedian $372 · 10th to 90th $282 to $468
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 $323.59 Median $1,174.90 Typical High $2,454.71 | Facility | None | $323.59 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $371.54 | Professional | None | $281.84 | $323.59 | $371.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $288.40 | Facility | None | $125.89 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $457.09 | Professional | None | $302.00 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $165.96 | Facility | None | $107.15 | $128.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $501.19 | Professional | None | $239.88 | $436.52 | $501.19 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $575.44 | Professional | None | $245.47 | $316.23 | $575.44 |
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 $141.25 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $213.80 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $28.84 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $199.53 | $229.09 | $263.03 |
Where Arkansas sits
The same service costs 6.7 times more in New York 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
NY $2,828FL $419
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.