How much rates vary
Facilitymedian $16,218 · 10th to 90th $1,072 to $21,878Professionalmedian $525 · 10th to 90th $389 to $794
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 $467.74 Median $1,288.25 Typical High $2,454.71 | Facility | None | $467.74 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | None | $363.08 | $467.74 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $16,218.10 Median $17,378.01 Typical High $23,442.29 | Facility | None | $16,218.10 | $17,378.01 | $23,442.29 |
BCBS Arkansas Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $562.34 | Professional | None | $426.58 | $467.74 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $13,489.63 Typical High $17,378.01 | Facility | None | $512.86 | $13,489.63 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $851.14 | Professional | None | $363.08 | $660.69 | $851.14 |
Qualchoice Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $8,511.38 Typical High $19,054.61 | Facility | None | $4,365.16 | $8,511.38 | $19,054.61 |
United Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $794.33 | Professional | None | $316.23 | $489.78 | $794.33 |
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 $181.97 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $53.70 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $36.31 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $251.19 | $323.59 | $323.59 |
Where Arkansas sits
The same service costs 29.4 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 $37,066MT $1,262
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.