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 $1,698.24 Typical High $2,818.38 | Facility | None | $676.08 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | None | $478.63 | $676.08 | $676.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $7,413.10 | Facility | None | $3,548.13 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $691.83 | Professional | None | $524.81 | $575.44 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,630.27 Typical High $3,235.94 | Facility | None | $794.33 | $2,630.27 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $954.99 | Professional | None | $512.86 | $870.96 | $954.99 |
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 $426.58 Median $562.34 Typical High $954.99 | Professional | None | $426.58 | $562.34 | $954.99 |
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 $239.88 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $239.88 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $95.50 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $354.81 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $72.44 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $47.86 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $331.13 | $467.74 | $467.74 |
Where Arkansas sits
The same service costs 18.2 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· 28th 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.