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 $407.38 Median $1,174.90 Typical High $2,454.71 | Facility | None | $407.38 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $512.86 | Professional | None | $407.38 | $436.52 | $512.86 |
BCBS Arkansas Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $524.81 | Facility | None | $208.93 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $602.56 | Professional | None | $354.81 | $457.09 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $512.86 | Facility | None | $204.17 | $239.88 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $676.08 | Professional | None | $302.00 | $436.52 | $676.08 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $741.31 | Facility | None | $79.43 | $131.83 | $741.31 |
United Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | None | $331.13 | $446.68 | $724.44 |
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 $204.17 Median $204.17 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | 53 · Discontinued | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $309.03 Typical High $389.05 | Professional | 54 · Surgery only | $302.00 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $288.40 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $281.84 | $288.40 | $363.08 |
Where Arkansas sits
The same service costs 6.0 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· 46th of 51
$380
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.