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 $204.17 Median $1,071.52 Typical High $2,041.74 | Facility | None | $204.17 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $302.00 | Professional | None | $204.17 | $234.42 | $302.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $213.80 Median $1,737.80 Typical High $2,398.83 | Facility | None | $213.80 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $380.19 | Professional | None | $190.55 | $251.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $218.78 | Facility | None | $107.15 | $177.83 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $478.63 | Professional | None | $181.97 | $302.00 | $478.63 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $426.58 | Professional | None | $177.83 | $263.03 | $426.58 |
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 $102.33 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $102.33 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $61.66 | Professional | 53 · Discontinued | $40.74 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $169.82 Typical High $229.09 | Professional | 54 · Surgery only | $154.88 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.88 Typical High $45.71 | Professional | 55 · Aftercare only | $30.90 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.91 Typical High $30.20 | Professional | 56 · Pre-op care only | $20.42 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $158.49 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $144.54 | $158.49 | $213.80 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 20th of 51
$316
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.