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 $107.15 Median $1,174.90 Typical High $2,454.71 | Facility | None | $107.15 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $138.04 | Professional | None | $102.33 | $114.82 | $138.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Facility | None | $181.97 | $181.97 | $251.19 |
BCBS Arkansas Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $165.96 | Professional | None | $93.33 | $123.03 | $165.96 |
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 $81.28 Median $117.49 Typical High $181.97 | Professional | None | $81.28 | $117.49 | $181.97 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $194.98 | Professional | None | $89.13 | $117.49 | $194.98 |
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 $53.70 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $83.18 Typical High $102.33 | Professional | 54 · Surgery only | $81.28 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $13.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $77.62 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $75.86 | $77.62 | $95.50 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in New York. 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· 19th of 51
$138
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.