How much rates vary
Facilitymedian $19,953 · 10th to 90th $1,072 to $25,704Professionalmedian $372 · 10th to 90th $295 to $617
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 $363.08 Median $1,071.52 Typical High $2,454.71 | Facility | None | $363.08 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | None | $295.12 | $363.08 | $363.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $19,952.62 Median $21,877.62 Typical High $30,199.52 | Facility | None | $19,952.62 | $21,877.62 | $30,199.52 |
BCBS Arkansas Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $457.09 | Professional | None | $346.74 | $380.19 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $12,302.69 Typical High $14,791.08 | Facility | None | $380.19 | $12,302.69 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $660.69 | Professional | None | $275.42 | $549.54 | $660.69 |
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 $257.04 Median $331.13 Typical High $645.65 | Professional | None | $257.04 | $331.13 | $645.65 |
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 $147.91 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $58.88 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $218.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $43.65 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $29.51 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $204.17 | $257.04 | $257.04 |
Where Arkansas sits
The same service costs 29.1 times more in Alabama 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
AL $30,626MT $1,051
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.