How much rates vary
Facilitymedian $2,884 · 10th to 90th $794 to $7,413Professionalmedian $1,380 · 10th to 90th $977 to $1,905
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 $1,071.52 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,174.90 | $1,380.38 | $1,380.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,413.10 | Facility | None | $5,370.32 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,071.52 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,630.27 Typical High $3,235.94 | Facility | None | $691.83 | $2,630.27 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,041.74 | Professional | None | $794.33 | $1,258.93 | $2,041.74 |
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 $977.24 Median $1,122.02 Typical High $2,041.74 | Professional | None | $977.24 | $1,122.02 | $2,041.74 |
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 $588.84 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $588.84 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $891.25 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $177.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $831.76 | $977.24 | $977.24 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.