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 $275.42 Median $1,174.90 Typical High $2,041.74 | Facility | None | $275.42 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $478.63 | Professional | None | $269.15 | $338.84 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $562.34 Typical High $562.34 | Professional | None | $131.83 | $562.34 | $562.34 |
BCBS Arkansas Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $812.83 | Facility | None | $323.59 | $588.84 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | None | $245.47 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $851.14 | Facility | None | $371.54 | $457.09 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | None | $234.42 | $407.38 | $645.65 |
Qualchoice Setting Professional Modifier None Typical Low $151.36 Median $645.65 Typical High $660.69 | Professional | None | $151.36 | $645.65 | $660.69 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | None | $79.43 | $131.83 | $776.25 |
United Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $588.84 | Professional | None | $234.42 | $363.08 | $588.84 |
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 $138.04 Median $165.96 Typical High $208.93 | Professional | 52 · Reduced service | $138.04 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $316.23 | Professional | 54 · Surgery only | $208.93 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $48.98 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $41.69 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $229.09 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $295.12 |
Where Arkansas sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 24th of 51
$407
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.