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 $954.99 Median $1,258.93 Typical High $1,258.93 | Professional | None | $954.99 | $1,258.93 | $1,258.93 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,230.27 | $1,479.11 |
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 $912.01 Median $1,698.24 Typical High $1,698.24 | Professional | None | $912.01 | $1,698.24 | $1,698.24 |
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 $870.96 Median $1,148.15 Typical High $1,949.84 | Professional | None | $870.96 | $1,148.15 | $1,949.84 |
4 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 54 · Surgery only Typical Low $724.44 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $724.44 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $95.50 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $676.08 | $891.25 | $891.25 |
Where Arkansas sits
The same service costs 7.6 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
$1,479
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.