How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,072 to $8,318Professionalmedian $759 · 10th to 90th $575 to $1,023
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 $758.58 Median $1,513.56 Typical High $2,454.71 | Facility | None | $758.58 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | None | $588.84 | $758.58 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $501.19 Typical High $501.19 | Professional | None | $69.18 | $501.19 | $501.19 |
BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,897.79 | $6,760.83 | $9,120.11 |
BCBS Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $912.01 | Professional | None | $691.83 | $758.58 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,786.30 Typical High $5,888.44 | Facility | None | $691.83 | $4,786.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,047.13 | Professional | None | $588.84 | $1,023.29 | $1,047.13 |
Qualchoice Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,202.26 | Professional | None | $537.03 | $707.95 | $1,202.26 |
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 $295.12 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $416.87 | $537.03 | $537.03 |
Where Arkansas sits
The same service costs 5.4 times more in Alaska 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
AK $11,142MT $2,070
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.