How much rates vary
Facilitymedian $1,738 · 10th to 90th $851 to $3,981Professionalmedian $646 · 10th to 90th $501 to $933
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 $602.56 Median $1,698.24 Typical High $2,818.38 | Facility | None | $602.56 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | None | $602.56 | $602.56 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | None | $851.14 | $851.14 | $912.01 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,584.89 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $707.95 | Professional | None | $537.03 | $537.03 | $707.95 |
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 $436.52 Median $812.83 Typical High $933.25 | Professional | None | $436.52 | $812.83 | $933.25 |
Qualchoice Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None | $977.24 | $977.24 | $1,047.13 |
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 $467.74 Median $575.44 Typical High $1,096.48 | Professional | None | $467.74 | $575.44 | $1,096.48 |
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 $302.00 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $457.09 |
Where Arkansas sits
The same service costs 3.6 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 $6,446MT $1,806
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.