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 $776.25 Median $1,071.52 Typical High $2,041.74 | Facility | None | $776.25 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $933.25 | Professional | None | $758.58 | $870.96 | $933.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,148.15 | Professional | None | $707.95 | $870.96 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $1,412.54 | Facility | None | $588.84 | $1,148.15 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,258.93 | Professional | None | $575.44 | $724.44 | $1,258.93 |
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 $831.76 Typical High $1,348.96 | Professional | None | $616.60 | $831.76 | $1,348.96 |
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 $380.19 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $151.36 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $75.86 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $549.54 | $645.65 |
Where Arkansas sits
The same service costs 4.9 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· 24th of 51
$955
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.