How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,288 to $9,120Professionalmedian $724 · 10th to 90th $537 to $912
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 $660.69 Median $1,513.56 Typical High $2,454.71 | Facility | None | $660.69 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | None | $512.86 | $660.69 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $831.76 | Professional | None | $794.33 | $794.33 | $831.76 |
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 $602.56 Median $660.69 Typical High $794.33 | Professional | None | $602.56 | $660.69 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,073.80 Typical High $5,128.61 | Facility | None | $691.83 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $933.25 | Professional | None | $489.78 | $870.96 | $933.25 |
Qualchoice Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | None | $912.01 | $912.01 | $954.99 |
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 $457.09 Median $588.84 Typical High $1,071.52 | Professional | None | $457.09 | $588.84 | $1,071.52 |
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 $257.04 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $389.05 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $77.62 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $363.08 | $457.09 | $457.09 |
Where Arkansas sits
The same service costs 7.5 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 $13,659MT $1,825
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.