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 $102.33 Median $1,000.00 Typical High $2,041.74 | Facility | None | $102.33 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $125.89 | Professional | None | $102.33 | $104.71 | $125.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $77.62 Median $1,412.54 Typical High $1,949.84 | Facility | None | $77.62 | $1,412.54 | $1,949.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $173.78 | Professional | None | $95.50 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $109.65 | Facility | None | $70.79 | $77.62 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $181.97 | Professional | None | $91.20 | $141.25 | $181.97 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $208.93 | Professional | None | $79.43 | $114.82 | $208.93 |
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 $51.29 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $79.43 Typical High $93.33 | Professional | 54 · Surgery only | $77.62 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $19.05 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $74.13 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $72.44 | $74.13 | $87.10 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 32nd of 51
$132
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.