How much rates vary
Facilitymedian $1,660 · 10th to 90th $794 to $3,981Professionalmedian $240 · 10th to 90th $170 to $331
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 $208.93 Median $1,288.25 Typical High $2,454.71 | Facility | None | $208.93 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $269.15 | Professional | None | $199.53 | $208.93 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | None | $234.42 | $288.40 | $288.40 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,584.89 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,513.56 Typical High $1,949.84 | Facility | None | $512.86 | $1,513.56 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $316.23 | Professional | None | $158.49 | $288.40 | $316.23 |
Qualchoice Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $331.13 | Professional | None | $269.15 | $331.13 | $331.13 |
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 $162.18 Median $190.55 Typical High $346.74 | Professional | None | $162.18 | $190.55 | $346.74 |
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 $102.33 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $102.33 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $40.74 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $158.49 Typical High $165.96 | Professional | 54 · Surgery only | $151.36 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $30.20 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.89 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.42 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $141.25 | $147.91 | $154.88 |
Where Arkansas sits
The same service costs 8.1 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 $4,634MT $570
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.