How much rates vary
Facilitymedian $3,388 · 10th to 90th $794 to $8,318Professionalmedian $589 · 10th to 90th $468 to $794
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 $575.44 Median $1,230.27 Typical High $2,454.71 | Facility | None | $575.44 | $1,230.27 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $575.44 | Professional | None | $416.87 | $575.44 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $512.86 Median $562.34 Typical High $676.08 | Professional | None | $512.86 | $562.34 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,162.28 Typical High $3,981.07 | Facility | None | $512.86 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $831.76 | Professional | None | $446.68 | $794.33 | $831.76 |
Qualchoice Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
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 $562.34 Typical High $891.25 | Professional | None | $389.05 | $562.34 | $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 $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $218.78 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $323.59 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $64.57 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $43.65 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $302.00 | $407.38 | $407.38 |
Where Arkansas sits
The same service costs 7.0 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 $10,808MT $1,535
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.