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 $1,122.02 Median $1,862.09 Typical High $3,467.37 | Facility | None | $1,122.02 | $1,862.09 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,071.52 | $1,122.02 | $1,122.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,754.23 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,023.29 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $3,388.44 | Facility | None | $1,096.48 | $2,754.23 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,905.46 | Professional | None | $758.58 | $1,174.90 | $1,905.46 |
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 $912.01 Median $1,071.52 Typical High $1,949.84 | Professional | None | $912.01 | $1,071.52 | $1,949.84 |
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 $467.74 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $467.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $707.95 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $141.25 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $660.69 | $776.25 | $776.25 |
Where Arkansas sits
The same service costs 7.2 times more in Oklahoma 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· 17th of 51
$1,862
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.