How much rates vary
Facilitymedian $1,698 · 10th to 90th $871 to $4,677Professionalmedian $437 · 10th to 90th $331 to $661
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 $467.74 Median $1,513.56 Typical High $2,454.71 | Facility | None | $467.74 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | None | $371.54 | $467.74 | $467.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $4,677.35 | Facility | None | $1,584.89 | $3,388.44 | $4,677.35 |
BCBS Arkansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | None | $363.08 | $363.08 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,548.82 Typical High $1,905.46 | Facility | None | $724.44 | $1,548.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $691.83 | Professional | None | $316.23 | $407.38 | $691.83 |
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 $323.59 Median $380.19 Typical High $676.08 | Professional | None | $323.59 | $380.19 | $676.08 |
5 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 54 · Surgery only Typical Low $295.12 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | GC · Resident with teaching physician | $288.40 | $288.40 | $288.40 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | GC · Resident with teaching physician | $331.13 | $331.13 | $331.13 |
Where Arkansas sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.