How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,288 to $6,457Professionalmedian $977 · 10th to 90th $692 to $1,288
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 $831.76 Median $1,479.11 Typical High $2,818.38 | Facility | None | $831.76 | $1,479.11 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,023.29 | Professional | None | $812.83 | $831.76 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,122.02 | Professional | None | $977.24 | $977.24 | $1,122.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $6,456.54 | Facility | None | $2,884.03 | $4,677.35 | $6,456.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,000.00 | Professional | None | $741.31 | $741.31 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,691.53 Typical High $3,311.31 | Facility | None | $831.76 | $2,691.53 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,148.15 Typical High $1,288.25 | Professional | None | $549.54 | $1,148.15 | $1,288.25 |
Qualchoice Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,606.93 | Facility | None | $1,412.54 | $1,995.26 | $6,606.93 |
United Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,412.54 | Professional | None | $660.69 | $794.33 | $1,412.54 |
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 $416.87 Median $416.87 Typical High $446.68 | Professional | 52 · Reduced service | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | 53 · Discontinued | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $616.60 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $616.60 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska 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
AK $10,099MT $2,245
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.