How much rates vary
Facilitymedian $1,778 · 10th to 90th $977 to $4,169Professionalmedian $603 · 10th to 90th $501 to $813
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 $602.56 Median $1,380.38 Typical High $2,454.71 | Facility | None | $602.56 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $602.56 | Professional | None | $478.63 | $602.56 | $602.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | None | $549.54 | $602.56 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,412.54 Typical High $1,862.09 | Facility | None | $562.34 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $812.83 Typical High $831.76 | Professional | None | $467.74 | $812.83 | $831.76 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $954.99 | Professional | None | $426.58 | $549.54 | $954.99 |
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 $239.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $70.79 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $47.86 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $331.13 | $426.58 | $426.58 |
Where Arkansas sits
The same service costs 5.4 times more in Alabama 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
AL $8,906MT $1,645
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.