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 $234.42 Median $1,000.00 Typical High $2,041.74 | Facility | None | $234.42 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $363.08 | Professional | None | $208.93 | $257.04 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $263.03 | Professional | None | $213.80 | $213.80 | $263.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $208.93 Median $1,513.56 Typical High $2,089.30 | Facility | None | $208.93 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $389.05 | Professional | None | $208.93 | $275.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $1,000.00 | Facility | None | $109.65 | $169.82 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $416.87 | Professional | None | $181.97 | $269.15 | $416.87 |
Qualchoice Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | None | $245.47 | $245.47 | $302.00 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,659.59 | Facility | None | $269.15 | $389.05 | $1,659.59 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $457.09 | Professional | None | $190.55 | $275.42 | $457.09 |
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 $117.49 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $117.49 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $46.77 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $181.97 Typical High $239.88 | Professional | 54 · Surgery only | $173.78 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $36.31 Typical High $47.86 | Professional | 55 · Aftercare only | $34.67 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $23.44 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $169.82 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $162.18 | $169.82 | $223.87 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 28th of 51
$302
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.