How much rates vary
Facilitymedian $1,514 · 10th to 90th $302 to $2,089Professionalmedian $813 · 10th to 90th $126 to $1,698
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 $147.91 Median $1,174.90 Typical High $2,454.71 | Facility | None | $147.91 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $645.65 Typical High $1,096.48 | Professional | None | $141.25 | $645.65 | $1,096.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $1,698.24 | Professional | None | $125.89 | $165.96 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,023.29 | Facility | None | $588.84 | $691.83 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $1,698.24 | Professional | None | $158.49 | $275.42 | $1,698.24 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,659.59 | Facility | None | $269.15 | $389.05 | $1,659.59 |
United Setting Professional Modifier None Typical Low $112.20 Median $831.76 Typical High $1,584.89 | Professional | None | $112.20 | $831.76 | $1,584.89 |
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 $74.13 Median $120.23 Typical High $537.03 | Professional | 52 · Reduced service | $74.13 | $120.23 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $47.86 Typical High $213.80 | Professional | 53 · Discontinued | $29.51 | $47.86 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $181.97 Typical High $812.83 | Professional | 54 · Surgery only | $112.20 | $181.97 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $36.31 Typical High $162.18 | Professional | 55 · Aftercare only | $22.39 | $36.31 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $23.99 Typical High $107.15 | Professional | 56 · Pre-op care only | $14.79 | $23.99 | $107.15 |
Where Arkansas sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.