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 $954.99 Median $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,288.25 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,621.81 | $3,235.94 | $4,466.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | None | $977.24 | $977.24 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $1,949.84 | Facility | None | $588.84 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,137.96 | Professional | None | $724.44 | $1,318.26 | $2,137.96 |
Qualchoice Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,862.09 | Professional | None | $870.96 | $1,000.00 | $1,862.09 |
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 $616.60 Median $630.96 Typical High $660.69 | Professional | 52 · Reduced service | $616.60 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $257.04 Typical High $263.03 | Professional | 53 · Discontinued | $251.19 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $933.25 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $190.55 Typical High $199.53 | Professional | 55 · Aftercare only | $186.21 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $128.82 Typical High $131.83 | Professional | 56 · Pre-op care only | $123.03 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $891.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $870.96 | $891.25 | $933.25 |
Where Arkansas sits
The same service costs 5.9 times more in Oklahoma 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
$1,622
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.