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 $1,659.59 Typical High $2,454.71 | Facility | None | $954.99 | $1,659.59 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,995.26 | $1,995.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $9,120.11 | Facility | None | $6,760.83 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,949.84 | $2,344.23 |
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 $1,445.44 Median $2,691.53 Typical High $2,754.23 | Professional | None | $1,445.44 | $2,691.53 | $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 $1,819.70 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,819.70 | $3,090.30 |
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 $1,148.15 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,148.15 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $229.09 | $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 $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,412.54 | $1,412.54 |
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
$2,344
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.