How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,096 to $7,244Professionalmedian $759 · 10th to 90th $603 to $955
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 $758.58 Median $1,412.54 Typical High $2,511.89 | Facility | None | $758.58 | $1,412.54 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | None | $588.84 | $758.58 | $758.58 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Facility | None | $5,248.07 | $5,248.07 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $3,388.44 | Facility | None | $724.44 | $2,754.23 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,122.02 | Professional | None | $575.44 | $954.99 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,202.26 | Professional | None | $575.44 | $630.96 | $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 $295.12 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $416.87 | $537.03 | $537.03 |
Where Arkansas sits
The same service costs 5.4 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 $11,084MT $2,070
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.