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 $173.78 Median $1,000.00 Typical High $2,041.74 | Facility | None | $173.78 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $436.52 | Professional | None | $154.88 | $302.00 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $478.63 | Professional | None | $204.17 | $204.17 | $478.63 |
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 $154.88 Median $204.17 Typical High $489.78 | Professional | None | $154.88 | $204.17 | $489.78 |
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 $190.55 Median $257.04 Typical High $588.84 | Professional | None | $190.55 | $257.04 | $588.84 |
Qualchoice Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $549.54 | Professional | None | $234.42 | $234.42 | $549.54 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,238.72 | Facility | None | $407.38 | $588.84 | $2,238.72 |
United Setting Professional Modifier None Typical Low $134.90 Median $302.00 Typical High $616.60 | Professional | None | $134.90 | $302.00 | $616.60 |
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 $87.10 Median $125.89 Typical High $218.78 | Professional | 52 · Reduced service | $87.10 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $50.12 Typical High $87.10 | Professional | 53 · Discontinued | $35.48 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $190.55 Typical High $331.13 | Professional | 54 · Surgery only | $131.83 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $38.02 Typical High $66.07 | Professional | 55 · Aftercare only | $26.30 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $25.12 Typical High $43.65 | Professional | 56 · Pre-op care only | $17.38 | $25.12 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $177.83 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $123.03 | $177.83 | $309.03 |
Where Arkansas sits
The same service costs 4.0 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· 19th 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.