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 $416.87 Median $1,288.25 Typical High $2,454.71 | Facility | None | $416.87 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $446.68 | Professional | None | $407.38 | $416.87 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,584.89 | $2,884.03 | $3,981.07 |
BCBS Arkansas Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $1,949.84 | Facility | None | $831.76 | $1,584.89 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $630.96 | Professional | None | $316.23 | $588.84 | $630.96 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $707.95 | Professional | None | $331.13 | $389.05 | $707.95 |
8 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 $208.93 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $331.13 | Professional | 54 · Surgery only | $309.03 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $288.40 | $295.12 | $309.03 |
Ambetter Setting Professional Modifier FP · Family planning Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | FP · Family planning | $489.78 | $489.78 | $489.78 |
Qualchoice Setting Professional Modifier FP · Family planning Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | FP · Family planning | $562.34 | $562.34 | $562.34 |
Where Arkansas sits
The same service costs 7.1 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· 8th of 51
$1,000
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.