How much rates vary
Facilitymedian $1,660 · 10th to 90th $891 to $3,981Professionalmedian $1,445 · 10th to 90th $1,096 to $2,239
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 $1,174.90 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,659.59 | $1,659.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,318.26 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,318.26 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,659.59 | Facility | None | $794.33 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $2,398.83 | Professional | None | $912.01 | $1,380.38 | $2,398.83 |
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 $1,071.52 Median $1,318.26 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,318.26 | $2,344.23 |
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 $691.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $691.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,023.29 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $138.04 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $954.99 | $1,148.15 | $1,148.15 |
Where Arkansas sits
The same service costs 3.2 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 $8,931DE $2,772
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.