How much rates vary
Facilitymedian $1,514 · 10th to 90th $468 to $3,981Professionalmedian $468 · 10th to 90th $363 to $631
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 $467.74 Median $1,380.38 Typical High $2,454.71 | Facility | None | $467.74 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $501.19 | Professional | None | $363.08 | $467.74 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $630.96 | Professional | None | $588.84 | $630.96 | $630.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,513.56 | $3,311.31 | $4,570.88 |
BCBS Arkansas Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None | $398.11 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $1,047.13 | Facility | None | $588.84 | $831.76 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $691.83 | Professional | None | $354.81 | $602.56 | $691.83 |
Qualchoice Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $338.84 Median $398.11 Typical High $741.31 | Professional | None | $338.84 | $398.11 | $741.31 |
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 $181.97 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $181.97 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $54.95 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $36.31 | $46.77 | $46.77 |
Where Arkansas sits
The same service costs 5.0 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 $5,749MT $1,151
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.