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 $398.11 Median $1,174.90 Typical High $2,454.71 | Facility | None | $398.11 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $524.81 | Professional | None | $380.19 | $426.58 | $524.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Facility | None | $380.19 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $630.96 | Professional | None | $354.81 | $478.63 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $512.86 | Facility | None | $50.12 | $100.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $676.08 | Professional | None | $309.03 | $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 $309.03 Median $446.68 Typical High $741.31 | Professional | None | $309.03 | $446.68 | $741.31 |
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 $199.53 Median $208.93 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $316.23 Typical High $398.11 | Professional | 54 · Surgery only | $295.12 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $63.10 Typical High $79.43 | Professional | 55 · Aftercare only | $58.88 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $39.81 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $295.12 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $275.42 | $295.12 | $371.54 |
Where Arkansas sits
The same service costs 4.7 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· 43rd 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.