How much rates vary
Facilitymedian $1,622 · 10th to 90th $891 to $3,631Professionalmedian $1,622 · 10th to 90th $1,349 to $2,188
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 $954.99 Median $1,621.81 Typical High $2,454.71 | Facility | None | $954.99 | $1,621.81 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,621.81 | $1,621.81 |
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 $1,412.54 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,548.82 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,778.28 | Facility | None | $891.25 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $2,238.72 | Professional | None | $1,174.90 | $2,187.76 | $2,238.72 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,621.81 | $2,511.89 |
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 $912.01 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $912.01 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $851.14 | $1,122.02 | $1,122.02 |
Where Arkansas sits
The same service costs 3.4 times more in Alabama 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
AL $9,171MD $2,698
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.