How much rates vary
Facilitymedian $1,820 · 10th to 90th $933 to $4,169Professionalmedian $631 · 10th to 90th $468 to $759
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 $562.34 Median $1,819.70 Typical High $3,467.37 | Facility | None | $562.34 | $1,819.70 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $630.96 | Professional | None | $478.63 | $562.34 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
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 $512.86 Median $562.34 Typical High $676.08 | Professional | None | $512.86 | $562.34 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,548.82 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $776.25 | Professional | None | $416.87 | $741.31 | $776.25 |
Qualchoice Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | None | $758.58 | $758.58 | $851.14 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $891.25 | Professional | None | $389.05 | $501.19 | $891.25 |
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 $218.78 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $218.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $66.07 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $44.67 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $389.05 | $389.05 |
Where Arkansas sits
The same service costs 5.4 times more in Alabama 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
AL $8,312MT $1,553
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.