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 $269.15 Median $1,000.00 Typical High $2,041.74 | Facility | None | $269.15 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $354.81 | Professional | None | $257.04 | $281.84 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | None | $128.82 | $186.21 | $186.21 |
BCBS Arkansas Setting Facility Modifier None Typical Low $218.78 Median $537.03 Typical High $741.31 | Facility | None | $218.78 | $537.03 | $741.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $416.87 | Professional | None | $251.19 | $316.23 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $537.03 | Facility | None | $177.83 | $208.93 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $512.86 | Professional | None | $275.42 | $346.74 | $512.86 |
Qualchoice Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | None | $147.91 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,548.82 | Facility | None | $269.15 | $363.08 | $1,548.82 |
United Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $575.44 | Professional | None | $218.78 | $323.59 | $575.44 |
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 $134.90 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $208.93 Typical High $251.19 | Professional | 54 · Surgery only | $199.53 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $41.69 Typical High $50.12 | Professional | 55 · Aftercare only | $39.81 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $194.98 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $186.21 | $194.98 | $234.42 |
Where Arkansas sits
The same service costs 4.2 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· 37th of 51
$331
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.