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 $467.74 Median $1,513.56 Typical High $3,090.30 | Facility | None | $467.74 | $1,513.56 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | None | $354.81 | $467.74 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $602.56 | Professional | None | $416.87 | $588.84 | $602.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $8,317.64 | Facility | None | $5,248.07 | $5,248.07 | $8,317.64 |
BCBS Arkansas Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $537.03 | Professional | None | $407.38 | $446.68 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $707.95 | Professional | None | $371.54 | $575.44 | $707.95 |
Qualchoice Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $676.08 | Professional | None | $354.81 | $354.81 | $676.08 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,621.81 | $4,570.88 | $9,772.37 |
United Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $724.44 | Professional | None | $346.74 | $389.05 | $724.44 |
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 $269.15 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $251.19 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 59 · Distinct service | $524.81 | $524.81 | $524.81 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 59 · Distinct service | $602.56 | $602.56 | $602.56 |
Where Arkansas sits
The same service costs 4.2 times more in Wyoming 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· 31st of 51
$468
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.