How much rates vary
Facilitymedian $1,514 · 10th to 90th $891 to $3,631Professionalmedian $646 · 10th to 90th $479 to $759
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 $562.34 Median $1,380.38 Typical High $2,454.71 | Facility | None | $562.34 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $645.65 | Professional | None | $426.58 | $562.34 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $660.69 | Professional | None | $489.78 | $549.54 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,778.28 | Facility | None | $891.25 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $776.25 | Professional | None | $407.38 | $758.58 | $776.25 |
Qualchoice Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $870.96 | Professional | None | $389.05 | $537.03 | $870.96 |
2 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 54 · Surgery only Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $323.59 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $302.00 | $389.05 | $389.05 |
Where Arkansas sits
The same service costs 4.4 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 $6,812MT $1,536
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.