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 $676.08 Median $1,071.52 Typical High $2,041.74 | Facility | None | $676.08 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $954.99 | Professional | None | $616.60 | $758.58 | $954.99 |
BCBS Arkansas Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,398.83 | Facility | None | $954.99 | $1,737.80 | $2,398.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,023.29 | Professional | None | $616.60 | $776.25 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $1,258.93 | Facility | None | $512.86 | $1,023.29 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,071.52 | Professional | None | $478.63 | $691.83 | $1,071.52 |
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 $562.34 Median $741.31 Typical High $1,202.26 | Professional | None | $562.34 | $741.31 | $1,202.26 |
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 $331.13 Median $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $331.13 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 53 · Discontinued | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $616.60 | Professional | 54 · Surgery only | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $575.44 |
Where Arkansas sits
The same service costs 4.2 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· 23rd of 51
$851
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.