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 $724.44 Median $1,230.27 Typical High $2,041.74 | Facility | None | $724.44 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $870.96 | Professional | None | $645.65 | $724.44 | $870.96 |
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 $645.65 Median $776.25 Typical High $1,047.13 | Professional | None | $645.65 | $776.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,258.93 | Facility | None | $562.34 | $1,023.29 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,174.90 | Professional | None | $512.86 | $741.31 | $1,174.90 |
Qualchoice Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $616.60 Median $776.25 Typical High $1,288.25 | Professional | None | $616.60 | $776.25 | $1,288.25 |
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 $346.74 Median $363.08 Typical High $436.52 | Professional | 52 · Reduced service | $346.74 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $138.04 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $524.81 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $87.10 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $489.78 | $512.86 | $602.56 |
Where Arkansas sits
The same service costs 4.5 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· 27th of 51
$891
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.