How much rates vary
Facilitymedian $3,388 · 10th to 90th $851 to $7,079Professionalmedian $575 · 10th to 90th $447 to $776
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 $575.44 Median $1,288.25 Typical High $2,454.71 | Facility | None | $575.44 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $630.96 | Professional | None | $446.68 | $575.44 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $776.25 | Professional | None | $724.44 | $776.25 | $776.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $7,244.36 | Facility | None | $3,388.44 | $5,370.32 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $645.65 | Professional | None | $489.78 | $489.78 | $645.65 |
CareSource Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $588.84 | Professional | None | $407.38 | $575.44 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $3,981.07 | Facility | None | $588.84 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $851.14 | Professional | None | $436.52 | $724.44 | $851.14 |
Qualchoice Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | None | $831.76 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $3,388.44 | Facility | None | $794.33 | $1,148.15 | $3,388.44 |
United Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $912.01 | Professional | None | $416.87 | $478.63 | $912.01 |
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 $223.87 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $66.07 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $44.67 | $57.54 | $57.54 |
Where Arkansas sits
The same service costs 6.1 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 $8,625MT $1,416
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.