How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,778 to $9,120Professionalmedian $1,995 · 10th to 90th $1,445 to $2,884
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 $1,288.25 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,778.28 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,995.26 | $1,995.26 | $2,398.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,778.28 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $3,388.44 Typical High $4,168.69 | Facility | None | $1,122.02 | $3,388.44 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,630.27 | $3,019.95 |
Qualchoice Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,570.40 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $3,019.95 | Professional | None | $1,230.27 | $1,584.89 | $3,019.95 |
8 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 $691.83 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $977.24 | $1,258.93 | $1,258.93 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | AS · PA/NP assist | $269.15 | $269.15 | $323.59 |
Qualchoice Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | AS · PA/NP assist | $309.03 | $309.03 | $371.54 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $15,286KY $3,341
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.