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 $1,513.56 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Professional | None | $870.96 | $1,148.15 | $1,148.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,122.02 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,479.11 Typical High $1,862.09 | Facility | None | $691.83 | $1,479.11 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,659.59 | Professional | None | $891.25 | $1,479.11 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,778.28 | Professional | None | $794.33 | $1,096.48 | $1,778.28 |
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 $436.52 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $436.52 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $616.60 | $794.33 | $794.33 |
Where Arkansas sits
The same service costs 16.2 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· 26th of 51
$1,349
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.