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 $363.08 Median $977.24 Typical High $2,041.74 | Facility | None | $363.08 | $977.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $389.05 | Professional | None | $295.12 | $363.08 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $549.54 | Professional | None | $263.03 | $549.54 | $549.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $288.40 | Facility | None | $125.89 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $489.78 | Professional | None | $354.81 | $389.05 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $165.96 | Facility | None | $107.15 | $128.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $489.78 Typical High $524.81 | Professional | None | $257.04 | $489.78 | $524.81 |
Qualchoice Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $630.96 | Professional | None | $302.00 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $616.60 | Professional | None | $245.47 | $316.23 | $616.60 |
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 $158.49 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $234.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $31.62 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $257.04 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $218.78 | $257.04 | $269.15 |
Where Arkansas sits
The same service costs 5.6 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· 32nd of 51
$372
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.