How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,698 to $7,586Professionalmedian $4,074 · 10th to 90th $479 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 $562.34 Median $2,454.71 Typical High $7,762.47 | Facility | None | $562.34 | $2,454.71 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,862.09 Typical High $7,762.47 | Professional | None | $562.34 | $1,862.09 | $7,762.47 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Facility | None | $5,248.07 | $5,248.07 | $7,244.36 |
BCBS Arkansas Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $7,943.28 | Professional | None | $478.63 | $630.96 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,918.31 Typical High $8,317.64 | Facility | None | $588.84 | $6,918.31 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,047.13 Typical High $10,715.19 | Professional | None | $575.44 | $1,047.13 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,698.24 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $436.52 Median $5,495.41 Typical High $10,715.19 | Professional | None | $436.52 | $5,495.41 | $10,715.19 |
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 52 · Reduced service Typical Low $281.84 Median $457.09 Typical High $3,890.45 | Professional | 52 · Reduced service | $281.84 | $457.09 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $181.97 Typical High $1,548.82 | Professional | 53 · Discontinued | $112.20 | $181.97 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $691.83 Typical High $5,888.44 | Professional | 54 · Surgery only | $426.58 | $691.83 | $5,888.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $138.04 Typical High $1,174.90 | Professional | 55 · Aftercare only | $85.11 | $138.04 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $91.20 Typical High $776.25 | Professional | 56 · Pre-op care only | $56.23 | $91.20 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $645.65 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $398.11 | $645.65 | $5,495.41 |
Where Arkansas sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.