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 $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,096.48 | Professional | None | $831.76 | $1,096.48 | $1,096.48 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,467.37 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,467.37 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,288.25 | Professional | None | $977.24 | $1,071.52 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,698.24 | Professional | None | $758.58 | $977.24 | $1,698.24 |
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 $416.87 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $416.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $630.96 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $125.89 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $588.84 | $776.25 | $776.25 |
Where Arkansas sits
The same service costs 17.4 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· 23rd of 51
$1,288
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.