How much rates vary
Facilitymedian $1,698 · 10th to 90th $309 to $3,890Professionalmedian $490 · 10th to 90th $355 to $692
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 $501.19 Median $1,071.52 Typical High $2,454.71 | Facility | None | $501.19 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $524.81 | Professional | None | $446.68 | $501.19 | $524.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,659.59 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,659.59 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,905.46 Typical High $2,344.23 | Facility | None | $380.19 | $1,905.46 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $831.76 | Professional | None | $316.23 | $512.86 | $831.76 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,659.59 | Facility | None | $269.15 | $363.08 | $1,659.59 |
United Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $724.44 | Professional | None | $338.84 | $389.05 | $724.44 |
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 $199.53 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $60.26 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $39.81 | $50.12 | $50.12 |
Where Arkansas sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.