How much rates vary
Facilitymedian $10,471 · 10th to 90th $1,288 to $16,218Professionalmedian $741 · 10th to 90th $603 to $1,023
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 $741.31 Median $1,513.56 Typical High $2,454.71 | Facility | None | $741.31 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $741.31 | Professional | None | $549.54 | $741.31 | $741.31 |
BCBS Arkansas Setting Facility Modifier None Typical Low $10,471.29 Median $13,182.57 Typical High $18,197.01 | Facility | None | $10,471.29 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $870.96 | Professional | None | $660.69 | $724.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $8,317.64 Typical High $10,232.93 | Facility | None | $691.83 | $8,317.64 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,071.52 | Professional | None | $575.44 | $1,023.29 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,148.15 | Professional | None | $512.86 | $724.44 | $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 $281.84 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $85.11 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $398.11 | $512.86 | $512.86 |
Where Arkansas sits
The same service costs 10.1 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 $19,890MT $1,977
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.