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 $3,467.37 | Facility | None | $1,071.52 | $1,819.70 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,570.40 | $3,467.37 | $3,467.37 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $2,951.21 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,951.21 | $3,311.31 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,168.69 | Facility | None | $691.83 | $3,162.28 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,715.35 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $5,248.07 | Professional | None | $2,290.87 | $2,884.03 | $5,248.07 |
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 $1,288.25 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,288.25 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $512.86 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,905.46 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $257.04 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,398.83 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,398.83 | $2,398.83 |
Where Arkansas sits
The same service costs 19.5 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· 29th of 51
$3,467
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.