How much rates vary
Facilitymedian $2,138 · 10th to 90th $759 to $4,169Professionalmedian $562 · 10th to 90th $372 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 $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 $467.74 Median $489.78 Typical High $741.31 | Professional | None | $467.74 | $489.78 | $741.31 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $4,168.69 | Facility | None | $2,137.96 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $741.31 | Professional | None | $371.54 | $489.78 | $741.31 |
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 $389.05 Median $630.96 Typical High $1,000.00 | Professional | None | $389.05 | $630.96 | $1,000.00 |
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 $575.44 Typical High $954.99 | Professional | None | $354.81 | $575.44 | $954.99 |
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 $239.88 Typical High $371.54 | Professional | 52 · Reduced service | $234.42 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $147.91 | Professional | 53 · Discontinued | $93.33 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $562.34 | Professional | 54 · Surgery only | $354.81 | $363.08 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $72.44 Typical High $112.20 | Professional | 55 · Aftercare only | $70.79 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $74.13 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $338.84 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $331.13 | $338.84 | $524.81 |
Where Arkansas sits
The same service costs 4.4 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 $6,451MT $1,460
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.