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 $676.08 Median $1,174.90 Typical High $2,454.71 | Facility | None | $676.08 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $891.25 | Professional | None | $602.56 | $676.08 | $891.25 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $288.40 | Facility | None | $125.89 | $213.80 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $954.99 | Professional | None | $524.81 | $691.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $1,000.00 | Facility | None | $117.49 | $141.25 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,318.26 | Professional | None | $588.84 | $1,000.00 | $1,318.26 |
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 $489.78 Median $707.95 Typical High $1,174.90 | Professional | None | $489.78 | $707.95 | $1,174.90 |
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 $309.03 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $309.03 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $123.03 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $676.08 | Professional | 54 · Surgery only | $457.09 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $89.13 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $630.96 |
Where Arkansas sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 35th of 51
$692
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.