How much rates vary
Facilitymedian $3,388 · 10th to 90th $794 to $8,318Professionalmedian $631 · 10th to 90th $437 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 $489.78 Median $1,288.25 Typical High $2,454.71 | Facility | None | $489.78 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $741.31 | Professional | None | $407.38 | $537.03 | $741.31 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $851.14 | Professional | None | $436.52 | $575.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $3,981.07 | Facility | None | $691.83 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,000.00 | Professional | None | $446.68 | $660.69 | $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 $371.54 Median $575.44 Typical High $954.99 | Professional | None | $371.54 | $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 $245.47 Median $269.15 Typical High $371.54 | Professional | 52 · Reduced service | $245.47 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $107.15 Typical High $147.91 | Professional | 53 · Discontinued | $97.72 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $549.54 | Professional | 54 · Surgery only | $371.54 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $81.28 Typical High $109.65 | Professional | 55 · Aftercare only | $74.13 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $53.70 Typical High $74.13 | Professional | 56 · Pre-op care only | $48.98 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $371.54 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $346.74 | $371.54 | $512.86 |
Where Arkansas sits
The same service costs 6.5 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 $9,949MT $1,532
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.