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 $691.83 Median $1,288.25 Typical High $2,454.71 | Facility | None | $691.83 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $758.58 | Professional | None | $660.69 | $691.83 | $758.58 |
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 $645.65 Median $645.65 Typical High $851.14 | Professional | None | $645.65 | $645.65 | $851.14 |
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 $426.58 Median $562.34 Typical High $1,071.52 | Professional | None | $426.58 | $562.34 | $1,071.52 |
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 $512.86 Median $676.08 Typical High $1,148.15 | Professional | None | $512.86 | $676.08 | $1,148.15 |
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 $323.59 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $489.78 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $457.09 | $478.63 | $478.63 |
Where Arkansas sits
The same service costs 7.2 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· 15th of 51
$1,072
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.