How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,479 to $13,490Professionalmedian $1,047 · 10th to 90th $417 to $7,079
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 $549.54 Median $1,621.81 Typical High $5,370.32 | Facility | None | $549.54 | $1,621.81 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $1,479.11 Typical High $5,370.32 | Professional | None | $467.74 | $1,479.11 | $5,370.32 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $6,606.93 | Professional | None | $645.65 | $707.95 | $6,606.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,165.95 Median $10,715.19 Typical High $14,791.08 | Facility | None | $6,165.95 | $10,715.19 | $14,791.08 |
BCBS Arkansas Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $5,888.44 | Professional | None | $416.87 | $549.54 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,309.57 Typical High $7,762.47 | Facility | None | $588.84 | $6,309.57 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $7,585.78 | Professional | None | $562.34 | $933.25 | $7,585.78 |
Qualchoice Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $7,585.78 | Professional | None | $741.31 | $812.83 | $7,585.78 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,481.54 | Facility | None | $2,454.71 | $4,265.80 | $11,481.54 |
United Setting Professional Modifier None Typical Low $436.52 Median $4,265.80 Typical High $8,709.64 | Professional | None | $436.52 | $4,265.80 | $8,709.64 |
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 $275.42 Median $295.12 Typical High $2,691.53 | Professional | 52 · Reduced service | $275.42 | $295.12 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $117.49 Typical High $1,071.52 | Professional | 53 · Discontinued | $109.65 | $117.49 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $436.52 Typical High $4,073.80 | Professional | 54 · Surgery only | $407.38 | $436.52 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $812.83 | Professional | 55 · Aftercare only | $81.28 | $89.13 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $537.03 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $537.03 |
Where Arkansas sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.