How much rates vary
Facilitymedian $1,660 · 10th to 90th $692 to $4,169Professionalmedian $275 · 10th to 90th $200 to $380
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 $275.42 Median $1,071.52 Typical High $2,454.71 | Facility | None | $275.42 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $281.84 | Professional | None | $239.88 | $275.42 | $281.84 |
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 $213.80 Median $213.80 Typical High $281.84 | Professional | None | $213.80 | $213.80 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,479.11 Typical High $1,949.84 | Facility | None | $380.19 | $1,479.11 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $467.74 | Professional | None | $158.49 | $288.40 | $467.74 |
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 $190.55 Median $218.78 Typical High $398.11 | Professional | None | $190.55 | $218.78 | $398.11 |
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 $134.90 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $134.90 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 54 · Surgery only | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $41.69 Typical High $42.66 | Professional | 55 · Aftercare only | $40.74 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $28.18 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $199.53 |
Where Arkansas sits
The same service costs 9.6 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 $6,197MT $647
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.