How much rates vary
Facilitymedian $1,047 · 10th to 90th $479 to $1,995Professionalmedian $646 · 10th to 90th $501 to $851
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 $588.84 Median $1,071.52 Typical High $2,041.74 | Facility | None | $588.84 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $676.08 | Professional | None | $501.19 | $588.84 | $676.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,995.26 | Facility | None | $812.83 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $776.25 | Professional | None | $524.81 | $588.84 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $977.24 | Facility | None | $512.86 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $891.25 | Professional | None | $501.19 | $794.33 | $891.25 |
Qualchoice Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,000.00 | Professional | None | $426.58 | $549.54 | $1,000.00 |
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 $251.19 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $380.19 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $51.29 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $457.09 |
Where Arkansas sits
The same service costs 4.0 times more in Colorado than in Alabama. 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 $5,057AL $1,277
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.