How much rates vary
Facilitymedian $1,230 · 10th to 90th $447 to $3,311Professionalmedian $158 · 10th to 90th $76 to $269
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 $104.71 Median $977.24 Typical High $2,041.74 | Facility | None | $104.71 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $218.78 | Professional | None | $81.28 | $144.54 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $269.15 | Professional | None | $95.50 | $218.78 | $269.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $223.87 | Professional | None | $74.13 | $97.72 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $1,412.54 | Facility | None | $588.84 | $1,148.15 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $288.40 | Professional | None | $97.72 | $151.36 | $288.40 |
Qualchoice Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $309.03 | Professional | None | $109.65 | $251.19 | $309.03 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $316.23 | Professional | None | $75.86 | $158.49 | $316.23 |
5 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 $52.48 Median $52.48 Typical High $109.65 | Professional | 52 · Reduced service | $52.48 | $52.48 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $43.65 | Professional | 53 · Discontinued | $20.89 | $20.89 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $162.18 | Professional | 54 · Surgery only | $79.43 | $79.43 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $32.36 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $21.88 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $21.88 |
Where Arkansas sits
The same service costs 9.7 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 $4,351MT $447
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.