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 $1,698.24 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,698.24 | $1,698.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $8,511.38 | Facility | None | $6,165.95 | $6,165.95 | $8,511.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,548.82 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,548.13 Typical High $4,265.80 | Facility | None | $588.84 | $3,548.13 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,230.27 | $2,187.76 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $6,918.31 | Facility | None | $1,479.11 | $2,041.74 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,445.44 | $2,511.89 |
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 $616.60 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $616.60 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $245.47 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $912.01 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $123.03 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $851.14 | $1,202.26 | $1,202.26 |
Where Arkansas sits
The same service costs 18.6 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· 24th of 51
$1,862
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.