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 $660.69 Median $1,071.52 Typical High $2,041.74 | Facility | None | $660.69 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $794.33 | Professional | None | $630.96 | $660.69 | $794.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $1,949.84 | Facility | None | $676.08 | $1,412.54 | $1,949.84 |
BCBS Arkansas Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $977.24 | Professional | None | $616.60 | $741.31 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $812.83 | Facility | None | $512.86 | $616.60 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $1,174.90 | Professional | None | $512.86 | $977.24 | $1,174.90 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,230.27 | Professional | None | $501.19 | $660.69 | $1,230.27 |
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 $316.23 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $125.89 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $79.43 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $467.74 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $467.74 | $549.54 |
Where Arkansas sits
The same service costs 5.6 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· 27th of 51
$794
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.