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 $1,698.24 Typical High $2,818.38 | Facility | None | $954.99 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $954.99 | Professional | None | $691.83 | $954.99 | $954.99 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,413.10 | Facility | None | $5,370.32 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,071.52 | Professional | None | $812.83 | $891.25 | $1,071.52 |
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 $660.69 Median $1,202.26 Typical High $1,380.38 | Professional | None | $660.69 | $1,202.26 | $1,380.38 |
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 $645.65 Median $831.76 Typical High $1,445.44 | Professional | None | $645.65 | $831.76 | $1,445.44 |
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 $346.74 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $138.04 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $524.81 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $104.71 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $489.78 | $660.69 | $660.69 |
Where Arkansas sits
The same service costs 16.6 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
$1,072
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.