How much rates vary
Facilitymedian $977 · 10th to 90th $447 to $1,698Professionalmedian $219 · 10th to 90th $162 to $355
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 $208.93 Median $1,071.52 Typical High $2,454.71 | Facility | None | $208.93 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $234.42 | Professional | None | $169.82 | $208.93 | $234.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,513.56 | Facility | None | $616.60 | $1,096.48 | $1,513.56 |
BCBS Arkansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | None | $177.83 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $776.25 | Facility | None | $380.19 | $616.60 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $354.81 | Professional | None | $177.83 | $346.74 | $354.81 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,995.26 | Facility | None | $407.38 | $588.84 | $1,995.26 |
United Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $354.81 | Professional | None | $154.88 | $218.78 | $354.81 |
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 $83.18 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $16.60 | $20.89 | $20.89 |
Where Arkansas sits
The same service costs 7.7 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 $4,047MT $526
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.