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 $95.50 Median $138.04 Typical High $2,454.71 | Facility | None | $95.50 | $138.04 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | None | $91.20 | $95.50 | $120.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $288.40 | Facility | None | $66.07 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $147.91 | Professional | None | $87.10 | $112.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $512.86 | Facility | None | $56.23 | $66.07 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $151.36 Typical High $218.78 | Professional | None | $87.10 | $151.36 | $218.78 |
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 $75.86 Median $114.82 Typical High $186.21 | Professional | None | $75.86 | $114.82 | $186.21 |
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 $46.77 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 54 · Surgery only | $70.79 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $12.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $66.07 | $66.07 | $83.18 |
Where Arkansas sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 35th of 51
$115
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.