How much rates vary
Facilitymedian $31,623 · 10th to 90th $1,698 to $39,811Professionalmedian $1,175 · 10th to 90th $891 to $1,698
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 $1,096.48 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,096.48 | $1,819.70 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,258.93 | Professional | None | $933.25 | $1,096.48 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,479.11 | $1,479.11 |
BCBS Arkansas Setting Facility Modifier None Typical Low $31,622.78 Median $32,359.37 Typical High $44,668.36 | Facility | None | $31,622.78 | $32,359.37 | $44,668.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None | $891.25 | $891.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $22,387.21 Typical High $27,542.29 | Facility | None | $588.84 | $22,387.21 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,905.46 | Professional | None | $645.65 | $1,479.11 | $1,905.46 |
Qualchoice Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,698.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $10,471.29 Typical High $25,118.86 | Facility | None | $5,011.87 | $10,471.29 | $25,118.86 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,819.70 | Professional | None | $812.83 | $1,174.90 | $1,819.70 |
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 $489.78 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $741.31 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $776.25 |
Where Arkansas sits
The same service costs 19.9 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 $53,750MT $2,699
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.