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 $223.87 Median $1,000.00 Typical High $2,454.71 | Facility | None | $223.87 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | None | $213.80 | $223.87 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,398.83 | Facility | None | $954.99 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $295.12 | Professional | None | $173.78 | $223.87 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $977.24 Typical High $1,258.93 | Facility | None | $380.19 | $977.24 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $380.19 | Professional | None | $165.96 | $288.40 | $380.19 |
Qualchoice Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $147.91 Median $204.17 Typical High $380.19 | Professional | None | $147.91 | $204.17 | $380.19 |
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 $109.65 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $165.96 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $28.18 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $154.88 | $154.88 | $194.98 |
Where Arkansas sits
The same service costs 4.6 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· 17th of 51
$324
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.