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 $812.83 Median $1,698.24 Typical High $2,818.38 | Facility | None | $812.83 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | None | $691.83 | $812.83 | $812.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $9,120.11 | Facility | None | $5,011.87 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $954.99 | Professional | None | $724.44 | $794.33 | $954.99 |
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 $630.96 Median $1,071.52 Typical High $1,096.48 | Professional | None | $630.96 | $1,071.52 | $1,096.48 |
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 $562.34 Median $741.31 Typical High $1,288.25 | Professional | None | $562.34 | $741.31 | $1,288.25 |
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 $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $562.34 | $562.34 |
Where Arkansas sits
The same service costs 7.8 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
$955
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.