How much rates vary
Facilitymedian $1,230 · 10th to 90th $759 to $2,570Professionalmedian $316 · 10th to 90th $200 to $468
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 $275.42 Median $1,071.52 Typical High $2,041.74 | Facility | None | $275.42 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | None | $251.19 | $302.00 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $2,570.40 | Facility | None | $933.25 | $1,905.46 | $2,570.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $467.74 | Professional | None | $199.53 | $269.15 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $1,122.02 | Facility | None | $512.86 | $912.01 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $562.34 | Professional | None | $229.09 | $363.08 | $562.34 |
Qualchoice Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $549.54 | Professional | None | $190.55 | $295.12 | $549.54 |
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 $138.04 Median $151.36 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $229.09 Typical High $275.42 | Professional | 54 · Surgery only | $204.17 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $45.71 Typical High $54.95 | Professional | 55 · Aftercare only | $40.74 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $36.31 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $36.31 |
Where Arkansas sits
The same service costs 7.9 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 $5,867MT $745
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.