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 $1,071.52 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,071.52 | $1,819.70 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,951.21 | $2,951.21 |
BCBS Arkansas Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,398.83 | Facility | None | $954.99 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,691.53 | $2,691.53 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,258.93 | Facility | None | $691.83 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $4,570.88 | Professional | None | $1,778.28 | $2,511.89 | $4,570.88 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,290.87 | $2,818.38 | $4,570.88 |
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 $1,348.96 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,348.96 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $537.03 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,238.72 Typical High $2,238.72 | Professional | 54 · Surgery only | $2,041.74 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $407.38 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,089.30 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,089.30 | $2,089.30 |
Where Arkansas sits
The same service costs 15.8 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· 49th of 51
$1,738
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.