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 $870.96 Median $1,380.38 Typical High $2,454.71 | Facility | None | $870.96 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $933.25 | $1,288.25 | $1,288.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,548.82 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,230.27 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $2,570.40 | Facility | None | $562.34 | $2,041.74 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,698.24 Typical High $1,778.28 | Professional | None | $776.25 | $1,698.24 | $1,778.28 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,995.26 | Professional | None | $691.83 | $1,000.00 | $1,995.26 |
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 $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $467.74 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $186.21 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $707.95 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $141.25 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $93.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $660.69 | $891.25 | $891.25 |
Where Arkansas sits
The same service costs 7.8 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· 22nd of 51
$1,445
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.