How much rates vary
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 $120.23 Median $1,071.52 Typical High $2,041.74 | Facility | None | $120.23 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $194.98 | Professional | None | $109.65 | $144.54 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $229.09 | Professional | None | $72.44 | $114.82 | $229.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $120.23 Median $660.69 Typical High $912.01 | Facility | None | $120.23 | $660.69 | $912.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $213.80 | Professional | None | $109.65 | $147.91 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $512.86 | Facility | None | $97.72 | $114.82 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $218.78 | Professional | None | $95.50 | $141.25 | $218.78 |
Qualchoice Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $263.03 | Professional | None | $83.18 | $131.83 | $263.03 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,548.82 | Facility | None | $269.15 | $363.08 | $1,548.82 |
United Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $234.42 | Professional | None | $100.00 | $144.54 | $234.42 |
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 $60.26 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $23.99 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $100.00 Typical High $125.89 | Professional | 54 · Surgery only | $89.13 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $19.95 Typical High $25.12 | Professional | 55 · Aftercare only | $17.78 | $19.95 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $93.33 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $83.18 | $93.33 | $117.49 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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.
Arkansas· 25th of 51
$170
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.