How much rates vary
Facilitymedian $1,349 · 10th to 90th $759 to $3,631Professionalmedian $550 · 10th to 90th $417 to $741
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 $467.74 Median $1,071.52 Typical High $2,041.74 | Facility | None | $467.74 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $630.96 | Professional | None | $398.11 | $478.63 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $416.87 Median $549.54 Typical High $741.31 | Professional | None | $416.87 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,412.54 | Facility | None | $512.86 | $1,071.52 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $831.76 | Professional | None | $380.19 | $630.96 | $831.76 |
Qualchoice Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $891.25 | Professional | None | $354.81 | $524.81 | $891.25 |
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 $234.42 Median $234.42 Typical High $309.03 | Professional | 52 · Reduced service | $234.42 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $125.89 | Professional | 53 · Discontinued | $93.33 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $354.81 Typical High $467.74 | Professional | 54 · Surgery only | $346.74 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $70.79 Typical High $93.33 | Professional | 55 · Aftercare only | $69.18 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $63.10 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $331.13 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $323.59 | $331.13 | $436.52 |
Where Arkansas sits
The same service costs 4.7 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 $6,464MT $1,390
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.