How much rates vary
Facilitymedian $661 · 10th to 90th $309 to $1,072Professionalmedian $158 · 10th to 90th $100 to $224
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 $128.82 Median $1,071.52 Typical High $2,454.71 | Facility | None | $128.82 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $158.49 | Professional | None | $125.89 | $128.82 | $158.49 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $891.25 | Facility | None | $363.08 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None | $158.49 | $158.49 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $575.44 | Facility | None | $338.84 | $380.19 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $223.87 Typical High $245.47 | Professional | None | $97.72 | $223.87 | $245.47 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $223.87 | Professional | None | $95.50 | $125.89 | $223.87 |
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 $61.66 Median $64.57 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $95.50 Typical High $117.49 | Professional | 54 · Surgery only | $93.33 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $23.44 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.88 Typical High $15.85 | Professional | 56 · Pre-op care only | $12.59 | $12.88 | $15.85 |
Where Arkansas sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.