How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,148 to $9,120Professionalmedian $1,023 · 10th to 90th $851 to $1,349
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 $891.25 Median $1,288.25 Typical High $2,454.71 | Facility | None | $891.25 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,258.93 | Professional | None | $776.25 | $1,023.29 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,466.84 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,230.27 | Professional | None | $933.25 | $1,023.29 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,168.69 Typical High $5,248.07 | Facility | None | $562.34 | $4,168.69 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,445.44 | Professional | None | $776.25 | $1,348.96 | $1,445.44 |
Qualchoice Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,621.81 | Professional | None | $724.44 | $954.99 | $1,621.81 |
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 $398.11 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $562.34 | $724.44 | $724.44 |
Where Arkansas sits
The same service costs 5.5 times more in Colorado 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
CO $14,085HI $2,567
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.