How much rates vary
Facilitymedian $1,778 · 10th to 90th $977 to $4,169Professionalmedian $891 · 10th to 90th $661 to $1,096
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 $812.83 Median $1,288.25 Typical High $2,454.71 | Facility | None | $812.83 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $812.83 | Professional | None | $588.84 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $691.83 Median $776.25 Typical High $912.01 | Professional | None | $691.83 | $776.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,412.54 Typical High $1,862.09 | Facility | None | $512.86 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,148.15 | Professional | None | $616.60 | $1,096.48 | $1,148.15 |
Qualchoice Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,230.27 | Professional | None | $549.54 | $776.25 | $1,230.27 |
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 $302.00 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $302.00 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $446.68 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $91.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $60.26 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $416.87 | $562.34 | $562.34 |
Where Arkansas sits
The same service costs 3.5 times more in Wisconsin than in Hawaii. 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
WI $7,283HI $2,091
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.