How much rates vary
Facilitymedian $1,622 · 10th to 90th $794 to $4,169Professionalmedian $575 · 10th to 90th $380 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 $436.52 Median $1,230.27 Typical High $2,041.74 | Facility | None | $436.52 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $660.69 | Professional | None | $371.54 | $478.63 | $660.69 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $758.58 | Professional | None | $380.19 | $512.86 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,412.54 Typical High $1,862.09 | Facility | None | $562.34 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $891.25 | Professional | None | $398.11 | $602.56 | $891.25 |
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 $338.84 Median $524.81 Typical High $870.96 | Professional | None | $338.84 | $524.81 | $870.96 |
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 $218.78 Median $245.47 Typical High $331.13 | Professional | 52 · Reduced service | $218.78 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $131.83 | Professional | 53 · Discontinued | $87.10 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $501.19 | Professional | 54 · Surgery only | $331.13 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $100.00 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $66.07 | Professional | 56 · Pre-op care only | $43.65 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $467.74 |
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 $6,438MT $1,383
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.