How much rates vary
Facilitymedian $2,138 · 10th to 90th $794 to $4,467Professionalmedian $479 · 10th to 90th $331 to $646
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 $478.63 Median $1,071.52 Typical High $2,454.71 | Facility | None | $478.63 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $478.63 | Professional | None | $416.87 | $478.63 | $478.63 |
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 $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
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 $269.15 Median $489.78 Typical High $794.33 | Professional | None | $269.15 | $489.78 | $794.33 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $691.83 | Professional | None | $316.23 | $380.19 | $691.83 |
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 $223.87 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $223.87 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $338.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $316.23 | $331.13 | $331.13 |
Where Arkansas sits
The same service costs 5.9 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 $6,847MT $1,164
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.