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 $131.83 Median $1,000.00 Typical High $2,041.74 | Facility | None | $131.83 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | None | $123.03 | $131.83 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $95.50 Median $269.15 Typical High $371.54 | Facility | None | $95.50 | $269.15 | $371.54 |
BCBS Arkansas Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $186.21 | Professional | None | $123.03 | $141.25 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $109.65 | Facility | None | $77.62 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $223.87 | Professional | None | $117.49 | $147.91 | $223.87 |
Qualchoice Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
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 $102.33 Median $123.03 Typical High $229.09 | Professional | None | $102.33 | $123.03 | $229.09 |
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 $66.07 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 54 · Surgery only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $91.20 | $91.20 | $100.00 |
Where Arkansas sits
The same service costs 4.4 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· 30th of 51
$145
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.