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 $302.00 Median $1,000.00 Typical High $2,041.74 | Facility | None | $302.00 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $316.23 | Professional | None | $257.04 | $302.00 | $316.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $288.40 | Facility | None | $125.89 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $389.05 | Professional | None | $281.84 | $316.23 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $630.96 | Facility | None | $123.03 | $151.36 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $407.38 Typical High $426.58 | Professional | None | $208.93 | $407.38 | $426.58 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $501.19 | Professional | None | $213.80 | $269.15 | $501.19 |
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 $128.82 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $223.87 Typical High $239.88 | Professional | 54 · Surgery only | $194.98 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $181.97 | $208.93 | $223.87 |
Where Arkansas sits
The same service costs 5.9 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· 33rd of 51
$302
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.