How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,445 to $14,791Professionalmedian $813 · 10th to 90th $537 to $1,175
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 $691.83 Median $1,819.70 Typical High $3,090.30 | Facility | None | $691.83 | $1,819.70 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $831.76 | Professional | None | $676.08 | $691.83 | $831.76 |
BCBS Arkansas Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $14,791.08 | Facility | None | $10,715.19 | $10,715.19 | $14,791.08 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,071.52 | Professional | None | $812.83 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,760.83 Typical High $8,317.64 | Facility | None | $588.84 | $6,760.83 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $1,174.90 Typical High $1,258.93 | Professional | None | $407.38 | $1,174.90 | $1,258.93 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,481.54 | Facility | None | $2,454.71 | $4,265.80 | $11,481.54 |
United Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $1,122.02 | Professional | None | $501.19 | $602.56 | $1,122.02 |
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 $331.13 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $69.18 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $69.18 | $77.62 |
Where Arkansas sits
The same service costs 9.8 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 $17,480MT $1,783
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.