How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,175 to $16,218Professionalmedian $1,047 · 10th to 90th $871 to $1,413
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 $954.99 Median $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | None | $794.33 | $1,047.13 | $1,047.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $18,197.01 | Facility | None | $9,332.54 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,202.26 | Professional | None | $912.01 | $1,023.29 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $7,762.47 Typical High $9,549.93 | Facility | None | $562.34 | $7,762.47 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,445.44 | Professional | None | $812.83 | $1,380.38 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,621.81 | Professional | None | $724.44 | $954.99 | $1,621.81 |
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 $398.11 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $588.84 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $549.54 | $724.44 | $724.44 |
Where Arkansas sits
The same service costs 7.5 times more in Alaska than in Hawaii. 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 $19,036HI $2,542
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.