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 $288.40 Median $1,000.00 Typical High $2,041.74 | Facility | None | $288.40 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $371.54 | Professional | None | $223.87 | $281.84 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $416.87 Typical High $416.87 | Professional | None | $144.54 | $416.87 | $416.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,089.30 | Facility | None | $691.83 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $371.54 | Professional | None | $229.09 | $281.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $831.76 | Facility | None | $380.19 | $676.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $436.52 | Professional | None | $186.21 | $257.04 | $436.52 |
Qualchoice Setting Professional Modifier None Typical Low $165.96 Median $478.63 Typical High $478.63 | Professional | None | $165.96 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,659.59 | Facility | None | $269.15 | $363.08 | $1,659.59 |
United Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $446.68 | Professional | None | $204.17 | $269.15 | $446.68 |
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 $123.03 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 54 · Surgery only | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $208.93 |
Where Arkansas sits
The same service costs 3.9 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.
Arkansas· 15th of 51
$372
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.