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 $338.84 Median $1,000.00 Typical High $2,041.74 | Facility | None | $338.84 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $398.11 | Professional | None | $275.42 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $316.23 Median $346.74 Typical High $457.09 | Professional | None | $316.23 | $346.74 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $524.81 | Facility | None | $123.03 | $151.36 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $501.19 | Professional | None | $234.42 | $457.09 | $501.19 |
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 $575.44 | Professional | None | $245.47 | $316.23 | $575.44 |
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 $144.54 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $251.19 Typical High $281.84 | Professional | 54 · Surgery only | $218.78 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $50.12 Typical High $56.23 | Professional | 55 · Aftercare only | $43.65 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $28.84 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $234.42 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $204.17 | $234.42 | $263.03 |
Where Arkansas sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 33rd of 51
$339
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.