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 $380.19 Median $1,071.52 Typical High $2,041.74 | Facility | None | $380.19 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $562.34 | Professional | None | $316.23 | $416.87 | $562.34 |
BCBS Arkansas Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,089.30 | Facility | None | $691.83 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $645.65 | Professional | None | $338.84 | $446.68 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $831.76 | Facility | None | $512.86 | $691.83 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $758.58 | Professional | None | $338.84 | $524.81 | $758.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,238.72 | Facility | None | $407.38 | $588.84 | $2,238.72 |
United Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $741.31 | Professional | None | $295.12 | $457.09 | $741.31 |
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 $190.55 Median $208.93 Typical High $281.84 | Professional | 52 · Reduced service | $190.55 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $309.03 Typical High $426.58 | Professional | 54 · Surgery only | $288.40 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $61.66 Typical High $85.11 | Professional | 55 · Aftercare only | $57.54 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $41.69 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.02 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $288.40 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $269.15 | $288.40 | $398.11 |
Where Arkansas sits
The same service costs 4.9 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· 27th of 51
$490
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.