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 $275.42 Median $1,174.90 Typical High $2,454.71 | Facility | None | $275.42 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $457.09 | Professional | None | $275.42 | $295.12 | $457.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Facility | None | $588.84 | $588.84 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $436.52 | Professional | None | $208.93 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $512.86 | Facility | None | $50.12 | $107.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $524.81 | Professional | None | $181.97 | $316.23 | $524.81 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,548.82 | Facility | None | $269.15 | $389.05 | $1,548.82 |
United Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $588.84 | Professional | None | $213.80 | $346.74 | $588.84 |
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 $138.04 Median $144.54 Typical High $229.09 | Professional | 52 · Reduced service | $138.04 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $57.54 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $346.74 | Professional | 54 · Surgery only | $204.17 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $69.18 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $45.71 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $204.17 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $190.55 | $204.17 | $323.59 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 18th of 51
$398
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.