How much rates vary
Facilitymedian $1,413 · 10th to 90th $794 to $3,631Professionalmedian $479 · 10th to 90th $363 to $871
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 $426.58 Median $1,380.38 Typical High $2,454.71 | Facility | None | $426.58 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $630.96 | Professional | None | $316.23 | $426.58 | $630.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $478.63 | Professional | None | $363.08 | $398.11 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $1,412.54 | Facility | None | $562.34 | $1,148.15 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $812.83 Typical High $1,000.00 | Professional | None | $380.19 | $812.83 | $1,000.00 |
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 $309.03 Median $602.56 Typical High $870.96 | Professional | None | $309.03 | $602.56 | $870.96 |
5 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 $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $239.88 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $31.62 | $42.66 | $42.66 |
Where Arkansas sits
The same service costs 6.1 times more in Oklahoma 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
OK $6,602MT $1,074
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.