How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,175 to $7,413Professionalmedian $1,047 · 10th to 90th $851 to $1,445
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 $1,047.13 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $776.25 | $1,047.13 | $1,047.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,754.23 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,202.26 | Professional | None | $912.01 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,630.27 Typical High $3,388.44 | Facility | None | $512.86 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,445.44 | Professional | None | $831.76 | $1,380.38 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,621.81 | Professional | None | $707.95 | $912.01 | $1,621.81 |
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 $389.05 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $588.84 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $77.62 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $549.54 | $741.31 | $741.31 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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 $10,228KY $2,649
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.