How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,072 to $8,318Professionalmedian $977 · 10th to 90th $813 to $1,318
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 $977.24 Median $1,513.56 Typical High $2,454.71 | Facility | None | $977.24 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | None | $794.33 | $977.24 | $977.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,570.88 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,230.27 | Professional | None | $933.25 | $1,023.29 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,073.80 Typical High $5,011.87 | Facility | None | $691.83 | $4,073.80 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,412.54 | Professional | None | $645.65 | $1,318.26 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,659.59 | Professional | None | $707.95 | $933.25 | $1,659.59 |
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 $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $602.56 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $120.23 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $562.34 | $691.83 | $691.83 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska 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
AK $12,963MT $2,892
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.