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 $1,819.70 Typical High $2,511.89 | Facility | None | $954.99 | $1,819.70 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,995.26 | $1,995.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $77,624.71 Median $77,624.71 Typical High $104,712.85 | Facility | None | $77,624.71 | $77,624.71 | $104,712.85 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,737.80 | $1,905.46 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $4,168.69 | Facility | None | $588.84 | $3,388.44 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $2,754.23 | Professional | None | $1,412.54 | $2,630.27 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,737.80 | $3,090.30 |
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 $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $741.31 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $302.00 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,122.02 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $223.87 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $151.36 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,380.38 | $1,380.38 |
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· 24th of 51
$2,291
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.