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 $954.99 Median $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $776.25 | $1,071.52 | $1,071.52 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,754.23 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,230.27 | Professional | None | $912.01 | $1,023.29 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,630.27 Typical High $3,388.44 | Facility | None | $562.34 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $1,412.54 | Professional | None | $794.33 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,621.81 | Professional | None | $724.44 | $933.25 | $1,621.81 |
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 $389.05 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $389.05 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $588.84 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $117.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $77.62 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $549.54 | $758.58 | $758.58 |
Where Arkansas sits
The same service costs 20.9 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· 24th of 51
$1,230
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.