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 $1,380.38 Typical High $2,454.71 | Facility | None | $954.99 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $776.25 | $1,023.29 | $1,023.29 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,548.82 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,202.26 | Professional | None | $912.01 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,819.70 Typical High $2,344.23 | Facility | None | $562.34 | $1,819.70 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,380.38 | Professional | None | $794.33 | $1,348.96 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,584.89 | Professional | None | $707.95 | $933.25 | $1,584.89 |
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 $389.05 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $588.84 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $549.54 | $707.95 | $707.95 |
Where Arkansas sits
The same service costs 7.9 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· 23rd of 51
$1,202
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.