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 $1,071.52 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,698.24 | $1,698.24 |
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 $1,445.44 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,584.89 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,754.23 Typical High $3,388.44 | Facility | None | $588.84 | $2,754.23 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,174.90 | $2,187.76 | $2,290.87 |
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 $1,148.15 Median $1,412.54 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,412.54 | $2,570.40 |
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 $616.60 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $616.60 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $245.47 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $933.25 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $186.21 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $123.03 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $870.96 | $1,174.90 | $1,174.90 |
Where Arkansas sits
The same service costs 17.0 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· 23rd of 51
$1,905
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.