How much rates vary
Facilitymedian $7,079 · 10th to 90th $589 to $13,490Professionalmedian $1,445 · 10th to 90th $1,072 to $1,950
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 $1,071.52 Median $1,621.81 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,621.81 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,348.96 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,445.44 | $2,137.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $13,489.63 | Facility | None | $9,772.37 | $9,772.37 | $13,489.63 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $1,023.29 | Facility | None | $501.19 | $512.86 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,071.52 | $1,949.84 | $2,089.30 |
Qualchoice Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,659.59 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $8,511.38 | Facility | None | $1,659.59 | $2,511.89 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,230.27 | $2,187.76 |
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 54 · Surgery only Typical Low $812.83 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $812.83 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $758.58 | $933.25 | $933.25 |
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 22 · Increased work | $2,137.96 | $2,137.96 | $2,137.96 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $213.80 Typical High $288.40 | Professional | AS · PA/NP assist | $144.54 | $213.80 | $288.40 |
Qualchoice Setting Professional Modifier 22 · Increased work Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 22 · Increased work | $2,454.71 | $2,454.71 | $2,454.71 |
Qualchoice Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $245.47 Typical High $331.13 | Professional | AS · PA/NP assist | $165.96 | $245.47 | $331.13 |
Where Arkansas sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.