How much rates vary
Facilitymedian $1,514 · 10th to 90th $891 to $3,631Professionalmedian $501 · 10th to 90th $417 to $661
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 $501.19 Median $1,380.38 Typical High $2,454.71 | Facility | None | $501.19 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | None | $371.54 | $501.19 | $501.19 |
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 $436.52 Median $478.63 Typical High $575.44 | Professional | None | $436.52 | $478.63 | $575.44 |
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 $354.81 Median $660.69 Typical High $676.08 | Professional | None | $354.81 | $660.69 | $676.08 |
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 $346.74 Median $478.63 Typical High $758.58 | Professional | None | $346.74 | $478.63 | $758.58 |
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 $281.84 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $263.03 | $346.74 | $346.74 |
Where Arkansas sits
The same service costs 5.1 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 $6,741MT $1,322
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.