How much rates vary
Facilitymedian $1,259 · 10th to 90th $759 to $2,951Professionalmedian $302 · 10th to 90th $195 to $457
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 $208.93 Median $1,071.52 Typical High $2,041.74 | Facility | None | $208.93 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $346.74 | Professional | None | $208.93 | $245.47 | $346.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $977.24 Median $2,137.96 Typical High $2,951.21 | Facility | None | $977.24 | $2,137.96 | $2,951.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $457.09 | Professional | None | $194.98 | $257.04 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,230.27 | Facility | None | $512.86 | $1,000.00 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $436.52 | Professional | None | $218.78 | $331.13 | $436.52 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $512.86 | Professional | None | $169.82 | $295.12 | $512.86 |
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 $104.71 Median $125.89 Typical High $173.78 | Professional | 52 · Reduced service | $104.71 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $69.18 | Professional | 53 · Discontinued | $41.69 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $186.21 Typical High $263.03 | Professional | 54 · Surgery only | $158.49 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $38.02 Typical High $52.48 | Professional | 55 · Aftercare only | $31.62 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.12 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.89 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $173.78 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $147.91 | $173.78 | $245.47 |
Where Arkansas sits
The same service costs 6.3 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 $4,654MT $736
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.