How much rates vary
Facilitymedian $1,318 · 10th to 90th $832 to $2,951Professionalmedian $575 · 10th to 90th $166 to $1,148
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 $177.83 Median $1,174.90 Typical High $2,454.71 | Facility | None | $177.83 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $575.44 Typical High $707.95 | Professional | None | $177.83 | $575.44 | $707.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $2,951.21 | Facility | None | $1,258.93 | $2,137.96 | $2,951.21 |
BCBS Arkansas Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $1,148.15 | Professional | None | $165.96 | $218.78 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,258.93 | Facility | None | $831.76 | $1,023.29 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $954.99 | Professional | None | $275.42 | $323.59 | $954.99 |
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 $147.91 Median $588.84 Typical High $1,071.52 | Professional | None | $147.91 | $588.84 | $1,071.52 |
2 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 54 · Surgery only Typical Low $134.90 Median $165.96 Typical High $524.81 | Professional | 54 · Surgery only | $134.90 | $165.96 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $154.88 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $125.89 | $154.88 | $489.78 |
Where Arkansas sits
The same service costs 3.5 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 $4,667MT $1,347
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.