How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,862 to $22,387Professionalmedian $4,786 · 10th to 90th $501 to $9,550
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 $630.96 Median $1,905.46 Typical High $7,762.47 | Facility | None | $630.96 | $1,905.46 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,862.09 Typical High $7,762.47 | Professional | None | $630.96 | $1,862.09 | $7,762.47 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12,022.64 Median $17,378.01 Typical High $23,988.33 | Facility | None | $12,022.64 | $17,378.01 | $23,988.33 |
BCBS Arkansas Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $6,918.31 | Professional | None | $501.19 | $660.69 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $11,220.18 Typical High $13,489.63 | Facility | None | $588.84 | $11,220.18 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,000.00 Typical High $10,715.19 | Professional | None | $602.56 | $1,000.00 | $10,715.19 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $19,054.61 | Facility | None | $4,365.16 | $8,317.64 | $19,054.61 |
United Setting Professional Modifier None Typical Low $501.19 Median $5,623.41 Typical High $11,481.54 | Professional | None | $501.19 | $5,623.41 | $11,481.54 |
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 52 · Reduced service Typical Low $316.23 Median $346.74 Typical High $3,890.45 | Professional | 52 · Reduced service | $316.23 | $346.74 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $1,548.82 | Professional | 53 · Discontinued | $128.82 | $141.25 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $5,754.40 | Professional | 54 · Surgery only | $478.63 | $524.81 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $1,148.15 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $776.25 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $776.25 |
Where Arkansas sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.