How much rates vary
Facilitymedian $1,259 · 10th to 90th $794 to $2,455Professionalmedian $776 · 10th to 90th $589 to $1,175
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 $724.44 Median $1,230.27 Typical High $2,041.74 | Facility | None | $724.44 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,023.29 | Professional | None | $676.08 | $831.76 | $1,023.29 |
BCBS Arkansas Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,398.83 | Facility | None | $954.99 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,096.48 | Professional | None | $676.08 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,258.93 | Facility | None | $562.34 | $1,023.29 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,174.90 | Professional | None | $446.68 | $758.58 | $1,174.90 |
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 $602.56 Median $776.25 Typical High $1,318.26 | Professional | None | $602.56 | $776.25 | $1,318.26 |
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 $363.08 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | 54 · Surgery only | $549.54 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $616.60 |
Where Arkansas sits
The same service costs 3.1 times more in Alaska than in Maryland. 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
AK $5,990MD $1,938
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.