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 $309.03 Median $1,000.00 Typical High $2,454.71 | Facility | None | $309.03 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $407.38 | Professional | None | $288.40 | $323.59 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $281.84 Median $1,513.56 Typical High $2,089.30 | Facility | None | $281.84 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $524.81 | Professional | None | $275.42 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $1,000.00 | Facility | None | $173.78 | $263.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $549.54 | Professional | None | $275.42 | $426.58 | $549.54 |
Qualchoice Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $234.42 Median $338.84 Typical High $562.34 | Professional | None | $234.42 | $338.84 | $562.34 |
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 $154.88 Median $162.18 Typical High $204.17 | Professional | 52 · Reduced service | $154.88 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $81.28 | Professional | 53 · Discontinued | $61.66 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $229.09 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $61.66 | Professional | 55 · Aftercare only | $45.71 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $32.36 Typical High $40.74 | Professional | 56 · Pre-op care only | $30.90 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $229.09 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $213.80 | $229.09 | $281.84 |
Where Arkansas sits
The same service costs 4.5 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· 25th of 51
$398
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.