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 $1,698.24 Typical High $2,454.71 | Facility | None | $954.99 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,737.80 | $1,737.80 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,019.95 Median $6,309.57 Typical High $8,511.38 | Facility | None | $3,019.95 | $6,309.57 | $8,511.38 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,737.80 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,630.78 Typical High $4,466.84 | Facility | None | $562.34 | $3,630.78 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,162.28 | Professional | None | $1,445.44 | $2,511.89 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,548.82 | $2,818.38 |
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 $676.08 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $676.08 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,000.00 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $933.25 | $1,230.27 | $1,230.27 |
Where Arkansas sits
The same service costs 24.5 times more in Alaska 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· 21st of 51
$2,089
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.