How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,023 to $4,169Professionalmedian $724 · 10th to 90th $562 to $912
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 $660.69 Median $1,380.38 Typical High $2,454.71 | Facility | None | $660.69 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | None | $512.86 | $660.69 | $660.69 |
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 $602.56 Median $660.69 Typical High $794.33 | Professional | None | $602.56 | $660.69 | $794.33 |
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 $512.86 Median $891.25 Typical High $954.99 | Professional | None | $512.86 | $891.25 | $954.99 |
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 $467.74 Median $691.83 Typical High $1,148.15 | Professional | None | $467.74 | $691.83 | $1,148.15 |
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 $257.04 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $363.08 | $467.74 | $467.74 |
Where Arkansas sits
The same service costs 4.1 times more in Oklahoma 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
OK $7,594MT $1,845
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.