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 $1,513.56 Typical High $3,090.30 | Facility | None | $489.78 | $1,513.56 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $489.78 | Professional | None | $398.11 | $489.78 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $426.58 Median $478.63 Typical High $575.44 | Professional | None | $426.58 | $478.63 | $575.44 |
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 $389.05 Median $616.60 Typical High $758.58 | Professional | None | $389.05 | $616.60 | $758.58 |
Qualchoice Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $371.54 Median $416.87 Typical High $776.25 | Professional | None | $371.54 | $416.87 | $776.25 |
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 $281.84 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $263.03 | $346.74 | $346.74 |
Where Arkansas sits
The same service costs 4.4 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· 23rd of 51
$562
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.