How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,096 to $8,318Professionalmedian $1,175 · 10th to 90th $977 to $1,549
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 $1,071.52 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,174.90 | $1,230.27 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,202.26 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $3,981.07 | Facility | None | $724.44 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $1,621.81 | Professional | None | $891.25 | $1,548.82 | $1,621.81 |
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 $831.76 Median $1,071.52 Typical High $1,949.84 | Professional | None | $831.76 | $1,071.52 | $1,949.84 |
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 $478.63 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $812.83 | $812.83 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Delaware. 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 $12,209DE $3,093
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.