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 $1,071.52 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,513.56 | $1,513.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $9,772.37 Median $13,182.57 Typical High $18,197.01 | Facility | None | $9,772.37 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,513.56 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $7,762.47 Typical High $9,549.93 | Facility | None | $691.83 | $7,762.47 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $2,137.96 | Professional | None | $1,174.90 | $2,041.74 | $2,137.96 |
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 $1,071.52 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,348.96 | $2,398.83 |
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 $588.84 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $588.84 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $234.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $891.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $831.76 | $1,071.52 | $1,071.52 |
Where Arkansas sits
The same service costs 7.4 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
$1,820
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.