How much rates vary
Facilitymedian $275 · 10th to 90th $83 to $1,175Professionalmedian $575 · 10th to 90th $155 to $1,096
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 $181.97 Median $1,000.00 Typical High $2,454.71 | Facility | None | $181.97 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $616.60 Typical High $870.96 | Professional | None | $169.82 | $616.60 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
BCBS Arkansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None | $575.44 | $575.44 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,148.15 | Facility | None | $562.34 | $724.44 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $338.84 Typical High $1,174.90 | Professional | None | $173.78 | $338.84 | $1,174.90 |
Qualchoice Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | None | $218.78 | $218.78 | $257.04 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $134.90 Median $616.60 Typical High $1,230.27 | Professional | None | $134.90 | $616.60 | $1,230.27 |
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 $91.20 Median $100.00 Typical High $436.52 | Professional | 52 · Reduced service | $91.20 | $100.00 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $173.78 | Professional | 53 · Discontinued | $36.31 | $39.81 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $151.36 Typical High $645.65 | Professional | 54 · Surgery only | $138.04 | $151.36 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.20 Typical High $128.82 | Professional | 55 · Aftercare only | $27.54 | $30.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.95 Typical High $87.10 | Professional | 56 · Pre-op care only | $18.20 | $19.95 | $87.10 |
Where Arkansas sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.