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 $407.38 Median $1,071.52 Typical High $2,041.74 | Facility | None | $407.38 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $436.52 | Professional | None | $363.08 | $407.38 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $741.31 | Facility | None | $302.00 | $537.03 | $741.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $549.54 | Professional | None | $371.54 | $407.38 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $724.44 | Facility | None | $275.42 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $676.08 | Professional | None | $371.54 | $457.09 | $676.08 |
Qualchoice Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $316.23 Median $380.19 Typical High $691.83 | Professional | None | $316.23 | $380.19 | $691.83 |
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 $204.17 Median $204.17 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | 54 · Surgery only | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $309.03 |
Where Arkansas sits
The same service costs 5.6 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· 31st of 51
$437
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.