How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,230 to $7,244Professionalmedian $1,230 · 10th to 90th $871 to $1,738
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 $1,174.90 Median $1,819.70 Typical High $3,019.95 | Facility | None | $1,174.90 | $1,819.70 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,230.27 | $1,318.26 |
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 $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $5,495.41 | Facility | None | $831.76 | $4,677.35 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $2,041.74 | Professional | None | $676.08 | $1,258.93 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,819.70 | Professional | None | $831.76 | $954.99 | $1,819.70 |
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 $501.19 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $870.96 | $870.96 |
Where Arkansas sits
The same service costs 4.6 times more in Wyoming 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
WY $13,103MT $2,825
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.