How much rates vary
Facilitymedian $1,259 · 10th to 90th $794 to $2,512Professionalmedian $871 · 10th to 90th $692 to $1,479
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 $870.96 Median $1,380.38 Typical High $2,454.71 | Facility | None | $870.96 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | None | $691.83 | $870.96 | $870.96 |
BCBS Arkansas Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $2,511.89 | Facility | None | $912.01 | $1,819.70 | $2,511.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,071.52 | Professional | None | $812.83 | $891.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,071.52 | Facility | None | $562.34 | $891.25 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,513.56 | Professional | None | $676.08 | $1,258.93 | $1,513.56 |
Qualchoice Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,162.28 | Facility | None | $794.33 | $1,122.02 | $3,162.28 |
United Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,479.11 | Professional | None | $602.56 | $776.25 | $1,479.11 |
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 $346.74 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $346.74 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $512.86 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $478.63 | $616.60 | $616.60 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.