How much rates vary
Facilitymedian $1,622 · 10th to 90th $776 to $4,169Professionalmedian $513 · 10th to 90th $355 to $676
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 $389.05 Median $1,071.52 Typical High $2,041.74 | Facility | None | $389.05 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $575.44 | Professional | None | $331.13 | $416.87 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
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 $354.81 Median $467.74 Typical High $676.08 | Professional | None | $354.81 | $467.74 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,513.56 Typical High $1,862.09 | Facility | None | $512.86 | $1,513.56 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $794.33 | Professional | None | $354.81 | $549.54 | $794.33 |
Qualchoice Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $302.00 Median $467.74 Typical High $758.58 | Professional | None | $302.00 | $467.74 | $758.58 |
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 $194.98 Median $218.78 Typical High $288.40 | Professional | 52 · Reduced service | $194.98 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $117.49 | Professional | 53 · Discontinued | $79.43 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $323.59 Typical High $436.52 | Professional | 54 · Surgery only | $295.12 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $87.10 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $43.65 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.90 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $302.00 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $275.42 | $302.00 | $407.38 |
Where Arkansas sits
The same service costs 5.3 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 $6,378MT $1,213
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.