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 $85.11 Median $1,000.00 Typical High $2,454.71 | Facility | None | $85.11 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $104.71 | Professional | None | $64.57 | $85.11 | $104.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $48.98 Median $275.42 Typical High $380.19 | Facility | None | $48.98 | $275.42 | $380.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $134.90 | Professional | None | $75.86 | $102.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $1,000.00 | Facility | None | $42.66 | $47.86 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $181.97 | Professional | None | $75.86 | $147.91 | $181.97 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $154.88 | Professional | None | $63.10 | $89.13 | $154.88 |
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 $63.10 Median $64.57 Typical High $77.62 | Professional | 54 · Surgery only | $63.10 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $58.88 | $60.26 | $72.44 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 26th of 51
$102
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.