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 $1,071.52 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,071.52 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None | $912.01 | $1,071.52 | $1,071.52 |
BCBS Arkansas Setting Facility Modifier None Typical Low $5,623.41 Median $6,760.83 Typical High $9,120.11 | Facility | None | $5,623.41 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,258.93 | Professional | None | $954.99 | $1,047.13 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $5,623.41 | Facility | None | $794.33 | $4,466.84 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,445.44 Typical High $1,548.82 | Professional | None | $831.76 | $1,445.44 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,698.24 | Professional | None | $758.58 | $977.24 | $1,698.24 |
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 $416.87 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $616.60 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $575.44 | $758.58 | $758.58 |
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· 24th of 51
$1,259
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.