How much rates vary
Facilitymedian $661 · 10th to 90th $302 to $1,072Professionalmedian $178 · 10th to 90th $129 to $251
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 $141.25 Median $1,000.00 Typical High $2,041.74 | Facility | None | $141.25 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $208.93 | Professional | None | $117.49 | $162.18 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
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 $128.82 Median $169.82 Typical High $251.19 | Professional | None | $128.82 | $169.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $549.54 | Facility | None | $338.84 | $380.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $363.08 | Professional | None | $125.89 | $245.47 | $363.08 |
Qualchoice Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None | $177.83 | $177.83 | $208.93 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,548.82 | Facility | None | $269.15 | $363.08 | $1,548.82 |
United Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $288.40 | Professional | None | $104.71 | $162.18 | $288.40 |
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 $70.79 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $70.79 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $28.18 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | 54 · Surgery only | $107.15 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $21.38 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.22 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.13 | $16.22 | $20.89 |
Where Arkansas sits
The same service costs 6.3 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 $2,712MT $427
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.