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 $309.03 Median $1,071.52 Typical High $2,041.74 | Facility | None | $309.03 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | None | $309.03 | $338.84 | $389.05 |
BCBS Arkansas Setting Facility Modifier None Typical Low $218.78 Median $588.84 Typical High $812.83 | Facility | None | $218.78 | $588.84 | $812.83 |
BCBS Arkansas Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $478.63 | Professional | None | $275.42 | $354.81 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $234.42 | Facility | None | $107.15 | $181.97 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $537.03 | Professional | None | $234.42 | $323.59 | $537.03 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $776.25 | Facility | None | $79.43 | $131.83 | $776.25 |
United Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $562.34 | Professional | None | $257.04 | $338.84 | $562.34 |
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 $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $229.09 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $218.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $213.80 | $218.78 | $269.15 |
Where Arkansas sits
The same service costs 4.0 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· 31st of 51
$347
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.