How much rates vary
Facilitymedian $2,570 · 10th to 90th $891 to $6,026Professionalmedian $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 $1,698.24 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,258.93 | $1,258.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $6,606.93 | Facility | None | $2,454.71 | $4,786.30 | $6,606.93 |
BCBS Arkansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,230.27 | Professional | None | $933.25 | $933.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,344.23 Typical High $2,951.21 | Facility | None | $794.33 | $2,344.23 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,089.30 | Professional | None | $691.83 | $1,258.93 | $2,089.30 |
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 $851.14 Median $977.24 Typical High $1,819.70 | Professional | None | $851.14 | $977.24 | $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 $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $630.96 | $630.96 |
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 $758.58 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $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 $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $870.96 | $870.96 |
Where Arkansas sits
The same service costs 4.1 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 $9,881DE $2,434
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.