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 $891.25 Median $1,862.09 Typical High $3,467.37 | Facility | None | $891.25 | $1,862.09 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | None | $676.08 | $891.25 | $891.25 |
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 $776.25 Median $870.96 Typical High $1,047.13 | Professional | None | $776.25 | $870.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $3,235.94 | Facility | None | $1,148.15 | $2,754.23 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,230.27 | Professional | None | $691.83 | $1,174.90 | $1,230.27 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,380.38 | Professional | None | $616.60 | $794.33 | $1,380.38 |
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 $338.84 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $501.19 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $467.74 | $616.60 | $616.60 |
Where Arkansas sits
The same service costs 8.5 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
$1,047
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.