How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,318 to $16,218Professionalmedian $1,000 · 10th to 90th $832 to $1,349
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 $1,000.00 Median $1,819.70 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,819.70 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,071.52 | Professional | None | $812.83 | $1,000.00 | $1,071.52 |
BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $13,182.57 Typical High $18,197.01 | Facility | None | $9,120.11 | $13,182.57 | $18,197.01 |
BCBS Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,174.90 | Professional | None | $891.25 | $977.24 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,888.44 Typical High $7,413.10 | Facility | None | $794.33 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,380.38 | Professional | None | $776.25 | $1,348.96 | $1,380.38 |
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 $707.95 Median $933.25 Typical High $1,584.89 | Professional | None | $707.95 | $933.25 | $1,584.89 |
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 $389.05 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $537.03 | $707.95 | $707.95 |
Where Arkansas sits
The same service costs 7.7 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 $20,845MT $2,698
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.