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 $281.84 Median $1,000.00 Typical High $2,041.74 | Facility | None | $281.84 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | None | $257.04 | $309.03 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
BCBS Arkansas Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $1,949.84 | Facility | None | $676.08 | $1,412.54 | $1,949.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $380.19 | Professional | None | $213.80 | $281.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $741.31 | Facility | None | $380.19 | $616.60 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $501.19 | Professional | None | $199.53 | $275.42 | $501.19 |
Qualchoice Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $512.86 | Professional | None | $199.53 | $275.42 | $512.86 |
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 $138.04 Median $141.25 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $213.80 Typical High $281.84 | Professional | 54 · Surgery only | $208.93 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $42.66 Typical High $56.23 | Professional | 55 · Aftercare only | $41.69 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.18 Typical High $37.15 | Professional | 56 · Pre-op care only | $27.54 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $199.53 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $194.98 | $199.53 | $263.03 |
Where Arkansas sits
The same service costs 4.3 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· 20th of 51
$389
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.