How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,072 to $8,318Professionalmedian $776 · 10th to 90th $646 to $1,072
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 $776.25 Median $1,513.56 Typical High $2,454.71 | Facility | None | $776.25 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $776.25 | Professional | None | $630.96 | $776.25 | $776.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $933.25 | Professional | None | $691.83 | $776.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $3,981.07 | Facility | None | $691.83 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,071.52 Typical High $1,148.15 | Professional | None | $549.54 | $1,071.52 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,230.27 | Professional | None | $549.54 | $758.58 | $1,230.27 |
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 $316.23 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $549.54 | $549.54 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska 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
AK $10,454MT $2,169
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.