How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,905 to $14,791Professionalmedian $891 · 10th to 90th $646 to $1,318
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 $831.76 Median $1,819.70 Typical High $3,890.45 | Facility | None | $831.76 | $1,819.70 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $831.76 | Professional | None | $602.56 | $831.76 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Arkansas Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $14,791.08 | Facility | None | $10,715.19 | $10,715.19 | $14,791.08 |
BCBS Arkansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,897.79 | $7,413.10 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,479.11 | Professional | None | $741.31 | $1,096.48 | $1,479.11 |
Qualchoice Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $10,715.19 | Facility | None | $1,698.24 | $2,570.40 | $10,715.19 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,318.26 | Professional | None | $602.56 | $912.01 | $1,318.26 |
5 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 $331.13 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $131.83 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $83.18 | $83.18 |
Where Arkansas sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.