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 $794.33 Median $1,380.38 Typical High $2,818.38 | Facility | None | $794.33 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,047.13 | Professional | None | $707.95 | $794.33 | $1,047.13 |
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 $645.65 Median $851.14 Typical High $1,122.02 | Professional | None | $645.65 | $851.14 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,630.27 Typical High $3,388.44 | Facility | None | $794.33 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,318.26 | Professional | None | $630.96 | $1,023.29 | $1,318.26 |
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 $575.44 Median $794.33 Typical High $1,318.26 | Professional | None | $575.44 | $794.33 | $1,318.26 |
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 $354.81 Median $398.11 Typical High $524.81 | Professional | 52 · Reduced service | $354.81 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $208.93 | Professional | 53 · Discontinued | $141.25 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $602.56 Typical High $776.25 | Professional | 54 · Surgery only | $524.81 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $107.15 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $104.71 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $562.34 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $489.78 | $562.34 | $724.44 |
Where Arkansas sits
The same service costs 6.2 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· 29th of 51
$871
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.