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 $575.44 Median $1,380.38 Typical High $2,818.38 | Facility | None | $575.44 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $645.65 | Professional | None | $524.81 | $575.44 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $295.12 Median $537.03 Typical High $741.31 | Facility | None | $295.12 | $537.03 | $741.31 |
BCBS Arkansas Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | None | $524.81 | $549.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $537.03 | Facility | None | $269.15 | $316.23 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $933.25 | Professional | None | $501.19 | $602.56 | $933.25 |
Qualchoice Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $446.68 Median $645.65 Typical High $977.24 | Professional | None | $446.68 | $645.65 | $977.24 |
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 $281.84 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $407.38 |
Where Arkansas sits
The same service costs 6.2 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· 38th of 51
$575
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.