How much rates vary
Facilitymedian $1,072 · 10th to 90th $457 to $2,455Professionalmedian $166 · 10th to 90th $74 to $794
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 $89.13 Median $1,000.00 Typical High $2,454.71 | Facility | None | $89.13 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $457.09 Typical High $616.60 | Professional | None | $87.10 | $457.09 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $851.14 | Professional | None | $107.15 | $123.03 | $851.14 |
BCBS Arkansas Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,454.71 | Facility | None | $831.76 | $1,778.28 | $2,454.71 |
BCBS Arkansas Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $794.33 | Professional | None | $74.13 | $97.72 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $1,047.13 | Facility | None | $588.84 | $831.76 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $912.01 | Professional | None | $93.33 | $165.96 | $912.01 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $812.83 | Professional | None | $67.61 | $177.83 | $812.83 |
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 $44.67 Median $69.18 Typical High $309.03 | Professional | 52 · Reduced service | $44.67 | $69.18 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $125.89 | Professional | 53 · Discontinued | $17.78 | $27.54 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $104.71 Typical High $467.74 | Professional | 54 · Surgery only | $66.07 | $104.71 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $20.89 Typical High $93.33 | Professional | 55 · Aftercare only | $13.18 | $20.89 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $13.80 Typical High $61.66 | Professional | 56 · Pre-op care only | $8.91 | $13.80 | $61.66 |
Where Arkansas sits
The same service costs 5.6 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 $4,728MT $843
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.