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 $489.78 Median $1,230.27 Typical High $2,454.71 | Facility | None | $489.78 | $1,230.27 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | None | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | 54 · Surgery only | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $16,595.87 | Facility | None | $12,022.64 | $12,022.64 | $16,595.87 |
BCBS Arkansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $9,120.11 Typical High $10,715.19 | Facility | None | $1,023.29 | $9,120.11 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $891.25 Typical High $1,412.54 | Professional | None | $467.74 | $891.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,481.54 | Facility | None | $2,454.71 | $4,265.80 | $11,481.54 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,318.26 | Professional | None | $380.19 | $537.03 | $1,318.26 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 79 · Unrelated procedure after surgery | $758.58 | $758.58 | $758.58 |
Where Arkansas sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 42nd of 51
$676
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.