How much rates vary
Facilitymedian $1,622 · 10th to 90th $794 to $4,169Professionalmedian $417 · 10th to 90th $288 to $562
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 $323.59 Median $1,230.27 Typical High $2,041.74 | Facility | None | $323.59 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $501.19 | Professional | None | $269.15 | $346.74 | $501.19 |
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 $288.40 Median $380.19 Typical High $562.34 | Professional | None | $288.40 | $380.19 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $1,862.09 | Facility | None | $588.84 | $1,513.56 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | None | $295.12 | $436.52 | $676.08 |
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 $245.47 Median $389.05 Typical High $645.65 | Professional | None | $245.47 | $389.05 | $645.65 |
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 $162.18 Median $181.97 Typical High $245.47 | Professional | 52 · Reduced service | $162.18 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $64.57 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $275.42 Typical High $371.54 | Professional | 54 · Surgery only | $239.88 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $54.95 Typical High $74.13 | Professional | 55 · Aftercare only | $48.98 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $32.36 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $223.87 | $257.04 | $346.74 |
Where Arkansas sits
The same service costs 6.3 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 $6,296MT $1,002
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.