How much rates vary
Facilitymedian $9,772 · 10th to 90th $1,862 to $16,218Professionalmedian $1,905 · 10th to 90th $1,549 to $2,512
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 $1,174.90 Median $1,862.09 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,862.09 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,862.09 | $1,862.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $9,772.37 Median $13,182.57 Typical High $18,197.01 | Facility | None | $9,772.37 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,778.28 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $7,762.47 Typical High $9,332.54 | Facility | None | $588.84 | $7,762.47 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,318.26 | $2,511.89 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,481.54 | Facility | None | $2,454.71 | $4,265.80 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,288.25 | $1,862.09 | $2,884.03 |
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 $691.83 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $691.83 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,047.13 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $208.93 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $977.24 | $1,318.26 | $1,318.26 |
Where Arkansas sits
The same service costs 6.5 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 $24,363KY $3,770
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.