How much rates vary
Facilitymedian $1,660 · 10th to 90th $759 to $4,074Professionalmedian $363 · 10th to 90th $174 to $1,122
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 $239.88 Median $1,071.52 Typical High $2,041.74 | Facility | None | $239.88 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $588.84 Typical High $891.25 | Professional | None | $239.88 | $588.84 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None | $229.09 | $229.09 | $263.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,621.81 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $977.24 | Professional | None | $173.78 | $234.42 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $1,949.84 | Facility | None | $512.86 | $1,479.11 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $1,288.25 | Professional | None | $223.87 | $446.68 | $1,288.25 |
Qualchoice Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $169.82 Median $426.58 Typical High $1,288.25 | Professional | None | $169.82 | $426.58 | $1,288.25 |
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 $120.23 Median $147.91 Typical High $426.58 | Professional | 52 · Reduced service | $120.23 | $147.91 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $169.82 | Professional | 53 · Discontinued | $47.86 | $60.26 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $223.87 Typical High $645.65 | Professional | 54 · Surgery only | $181.97 | $223.87 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $44.67 Typical High $128.82 | Professional | 55 · Aftercare only | $36.31 | $44.67 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $85.11 | Professional | 56 · Pre-op care only | $23.99 | $30.20 | $85.11 |
Where Arkansas sits
The same service costs 4.0 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 $5,041MT $1,267
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.