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 $1,318.26 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,513.56 | $1,513.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,079.46 | Facility | None | $5,248.07 | $5,248.07 | $7,079.46 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,202.26 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,884.03 Typical High $3,548.13 | Facility | None | $1,023.29 | $2,884.03 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $2,089.30 Typical High $2,570.40 | Professional | None | $870.96 | $2,089.30 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $8,511.38 | Facility | None | $1,659.59 | $2,511.89 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,584.89 | $2,570.40 |
2 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 $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,047.13 |
Where Arkansas sits
The same service costs 5.4 times more in Wisconsin 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· 13th of 51
$2,512
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.