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 $741.31 Median $954.99 Typical High $954.99 | Professional | None | $741.31 | $954.99 | $954.99 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,122.02 | Professional | None | $851.14 | $933.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,162.28 Typical High $3,981.07 | Facility | None | $794.33 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,288.25 | Professional | None | $741.31 | $1,258.93 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,479.11 | Professional | None | $660.69 | $870.96 | $1,479.11 |
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 $363.08 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $363.08 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $549.54 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $512.86 | $660.69 | $660.69 |
Where Arkansas sits
The same service costs 7.4 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· 25th of 51
$1,122
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.