How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,096 to $4,898Professionalmedian $708 · 10th to 90th $562 to $871
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 $707.95 Median $1,698.24 Typical High $2,818.38 | Facility | None | $707.95 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | None | $562.34 | $707.95 | $707.95 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $4,897.79 | Facility | None | $1,621.81 | $3,630.78 | $4,897.79 |
BCBS Arkansas Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $1,949.84 | Facility | None | $794.33 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,071.52 | Professional | None | $524.81 | $870.96 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,786.30 | Facility | None | $1,096.48 | $1,513.56 | $4,786.30 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,122.02 | Professional | None | $537.03 | $588.84 | $1,122.02 |
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 $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $389.05 | $501.19 | $501.19 |
Where Arkansas sits
The same service costs 4.0 times more in Oklahoma 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
OK $7,787MT $1,955
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.