How much rates vary
Facilitymedian $12,882 · 10th to 90th $2,188 to $25,119Professionalmedian $2,188 · 10th to 90th $1,820 to $2,884
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 $1,288.25 Median $2,187.76 Typical High $3,467.37 | Facility | None | $1,288.25 | $2,187.76 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,584.89 | $2,187.76 | $2,187.76 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12,882.50 Median $22,387.21 Typical High $30,199.52 | Facility | None | $12,882.50 | $22,387.21 | $30,199.52 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,862.09 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $10,964.78 Typical High $12,882.50 | Facility | None | $588.84 | $10,964.78 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $3,019.95 | Professional | None | $1,548.82 | $2,884.03 | $3,019.95 |
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 $1,479.11 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,137.96 | $3,311.31 |
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 $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $794.33 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $323.59 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,202.26 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $239.88 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $158.49 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,513.56 | $1,513.56 |
Where Arkansas sits
The same service costs 7.8 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 $31,233KY $3,989
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.