How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,175 to $5,012Professionalmedian $380 · 10th to 90th $275 to $490
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 $380.19 Median $1,380.38 Typical High $2,454.71 | Facility | None | $380.19 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $380.19 | Professional | None | $275.42 | $380.19 | $380.19 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,897.79 | Facility | None | $3,630.78 | $3,630.78 | $4,897.79 |
BCBS Arkansas Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None | $295.12 | $295.12 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,884.03 Typical High $3,630.78 | Facility | None | $562.34 | $2,884.03 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $562.34 | Professional | None | $269.15 | $489.78 | $562.34 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $8,709.64 | Facility | None | $1,659.59 | $2,511.89 | $8,709.64 |
United Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $562.34 | Professional | None | $257.04 | $316.23 | $562.34 |
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 $134.90 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $54.95 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $204.17 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $40.74 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.