How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,023 to $4,169Professionalmedian $1,479 · 10th to 90th $832 to $2,042
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 $794.33 Median $1,445.44 Typical High $2,454.71 | Facility | None | $794.33 | $1,445.44 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,513.56 | $1,513.56 |
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 $1,318.26 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,445.44 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,412.54 Typical High $1,862.09 | Facility | None | $512.86 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,995.26 Typical High $2,089.30 | Professional | None | $758.58 | $1,995.26 | $2,089.30 |
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 $602.56 Median $1,023.29 Typical High $2,344.23 | Professional | None | $602.56 | $1,023.29 | $2,344.23 |
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 $549.54 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $549.54 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $831.76 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $165.96 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $776.25 | $1,071.52 | $1,071.52 |
Where Arkansas sits
The same service costs 3.7 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 $9,494KY $2,537
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.