How much rates vary
Facilitymedian $219 · 10th to 90th $105 to $692Professionalmedian $219 · 10th to 90th $135 to $309
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 $177.83 Median $1,000.00 Typical High $2,041.74 | Facility | None | $177.83 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $281.84 | Professional | None | $177.83 | $208.93 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $446.68 | Professional | None | $141.25 | $218.78 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $302.00 | Facility | None | $138.04 | $218.78 | $302.00 |
BCBS Arkansas Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $295.12 | Professional | None | $134.90 | $177.83 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | None | $125.89 | $154.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $380.19 | Professional | None | $162.18 | $245.47 | $380.19 |
Qualchoice Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None | $218.78 | $218.78 | $251.19 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $371.54 | Professional | None | $125.89 | $208.93 | $371.54 |
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 $87.10 Median $97.72 Typical High $131.83 | Professional | 52 · Reduced service | $87.10 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | 54 · Surgery only | $131.83 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $39.81 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.50 Typical High $26.30 | Professional | 56 · Pre-op care only | $17.78 | $19.50 | $26.30 |
Where Arkansas sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.