How much rates vary
Facilitymedian $1,202 · 10th to 90th $661 to $2,512Professionalmedian $646 · 10th to 90th $398 to $955
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 $416.87 Median $1,000.00 Typical High $2,041.74 | Facility | None | $416.87 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $645.65 | Professional | None | $416.87 | $575.44 | $645.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $2,511.89 | Facility | None | $912.01 | $1,819.70 | $2,511.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $954.99 | Professional | None | $398.11 | $524.81 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $1,071.52 | Facility | None | $380.19 | $812.83 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $776.25 Typical High $1,513.56 | Professional | None | $467.74 | $776.25 | $1,513.56 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,162.28 | Facility | None | $794.33 | $1,122.02 | $3,162.28 |
United Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,023.29 | Professional | None | $316.23 | $549.54 | $1,023.29 |
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 $208.93 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $208.93 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $83.18 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $389.05 Typical High $489.78 | Professional | 54 · Surgery only | $309.03 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $61.66 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $41.69 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $363.08 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $288.40 | $363.08 | $457.09 |
Where Arkansas sits
The same service costs 3.2 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 $4,968MT $1,567
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.