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 $302.00 Median $1,318.26 Typical High $2,454.71 | Facility | None | $302.00 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $1,318.26 Typical High $1,995.26 | Professional | None | $302.00 | $1,318.26 | $1,995.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $2,570.40 | Facility | None | $933.25 | $1,905.46 | $2,570.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $223.87 Median $295.12 Typical High $3,090.30 | Professional | None | $223.87 | $295.12 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $1,174.90 | Facility | None | $630.96 | $933.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $1,380.38 Typical High $3,548.13 | Professional | None | $281.84 | $1,380.38 | $3,548.13 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $213.80 Median $1,412.54 Typical High $3,548.13 | Professional | None | $213.80 | $1,412.54 | $3,548.13 |
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 $229.09 Median $263.03 Typical High $1,513.56 | Professional | 54 · Surgery only | $229.09 | $263.03 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $245.47 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $213.80 | $245.47 | $1,412.54 |
Where Arkansas sits
The same service costs 7.1 times more in Oregon 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· 35th of 51
$1,380
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.