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 $302.00 Median $1,000.00 Typical High $2,041.74 | Facility | None | $302.00 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $371.54 | Professional | None | $275.42 | $302.00 | $371.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $524.81 | Facility | None | $204.17 | $380.19 | $524.81 |
BCBS Arkansas Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $457.09 | Professional | None | $275.42 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $512.86 | Facility | None | $190.55 | $223.87 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $524.81 | Professional | None | $229.09 | $302.00 | $524.81 |
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 $257.04 Median $338.84 Typical High $537.03 | Professional | None | $257.04 | $338.84 | $537.03 |
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 $151.36 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | 54 · Surgery only | $223.87 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $54.95 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $208.93 | $208.93 | $257.04 |
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· 26th of 51
$355
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.