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 $954.99 Median $1,412.54 Typical High $2,454.71 | Facility | None | $954.99 | $1,412.54 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $933.25 | $1,202.26 | $1,202.26 |
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 $1,071.52 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,174.90 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,162.28 Typical High $3,981.07 | Facility | None | $562.34 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $1,737.80 | Professional | None | $933.25 | $1,621.81 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,905.46 | Professional | None | $851.14 | $1,174.90 | $1,905.46 |
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 $467.74 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $186.21 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $691.83 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $645.65 | $851.14 | $851.14 |
Where Arkansas sits
The same service costs 8.3 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
$1,413
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.