How much rates vary
Facilitymedian $20,893 · 10th to 90th $1,072 to $30,200Professionalmedian $603 · 10th to 90th $468 to $1,047
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 $1,288.25 Typical High $2,454.71 | Facility | None | $602.56 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $660.69 | Professional | None | $549.54 | $602.56 | $660.69 |
BCBS Arkansas Setting Facility Modifier None Typical Low $20,892.96 Median $21,877.62 Typical High $30,199.52 | Facility | None | $20,892.96 | $21,877.62 | $30,199.52 |
BCBS Arkansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None | $575.44 | $575.44 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $23,988.33 Typical High $30,199.52 | Facility | None | $512.86 | $23,988.33 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $1,000.00 Typical High $1,122.02 | Professional | None | $380.19 | $1,000.00 | $1,122.02 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $19,054.61 | Facility | None | $4,365.16 | $7,943.28 | $19,054.61 |
United Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $1,071.52 | Professional | None | $446.68 | $537.03 | $1,071.52 |
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 $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Where Arkansas sits
The same service costs 24.6 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 $43,875MT $1,787
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.