How much rates vary
Facilitymedian $269 · 10th to 90th $100 to $692Professionalmedian $372 · 10th to 90th $302 to $468
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 $363.08 Median $1,000.00 Typical High $2,041.74 | Facility | None | $363.08 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | None | $363.08 | $363.08 | $371.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $371.54 | Facility | None | $158.49 | $269.15 | $371.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $467.74 | Professional | None | $338.84 | $346.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $204.17 | Facility | None | $107.15 | $162.18 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $562.34 | Professional | None | $316.23 | $380.19 | $562.34 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $616.60 | Professional | None | $275.42 | $331.13 | $616.60 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $257.04 |
Where Arkansas sits
The same service costs 7.4 times more in Hawaii than in Florida. 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
HI $3,255FL $440
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.