How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,549 to $13,490Professionalmedian $776 · 10th to 90th $603 to $977
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 $776.25 Median $1,819.70 Typical High $3,019.95 | Facility | None | $776.25 | $1,819.70 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | None | $602.56 | $776.25 | $776.25 |
BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $10,964.78 Typical High $14,791.08 | Facility | None | $7,244.36 | $10,964.78 | $14,791.08 |
BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | None | $707.95 | $707.95 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,606.93 Typical High $7,943.28 | Facility | None | $588.84 | $6,606.93 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $1,148.15 | Professional | None | $549.54 | $954.99 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,202.26 | Professional | None | $562.34 | $660.69 | $1,202.26 |
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 $309.03 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $426.58 | $537.03 | $537.03 |
Where Arkansas sits
The same service costs 8.1 times more in Alaska 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
AK $17,082MT $2,120
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.