How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,622 to $11,482Professionalmedian $933 · 10th to 90th $646 to $1,549
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 $933.25 Median $1,819.70 Typical High $3,019.95 | Facility | None | $933.25 | $1,819.70 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,174.90 | Professional | None | $912.01 | $933.25 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,174.90 | Professional | None | $645.65 | $645.65 | $1,174.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,570.88 Median $9,332.54 Typical High $12,589.25 | Facility | None | $4,570.88 | $9,332.54 | $12,589.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,071.52 | Professional | None | $812.83 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,677.35 Typical High $5,754.40 | Facility | None | $1,023.29 | $4,677.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,445.44 Typical High $1,548.82 | Professional | None | $616.60 | $1,445.44 | $1,548.82 |
Qualchoice Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Professional | None | $616.60 | $616.60 | $741.31 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,584.89 | Professional | None | $741.31 | $912.01 | $1,584.89 |
2 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 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Where Arkansas sits
The same service costs 6.1 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 $15,685MT $2,577
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.