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 $1,174.90 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,698.24 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,202.26 | Professional | None | $912.01 | $1,202.26 | $1,202.26 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,606.93 Median $13,182.57 Typical High $18,197.01 | Facility | None | $6,606.93 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,174.90 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,888.44 Typical High $7,413.10 | Facility | None | $794.33 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $1,621.81 | Professional | None | $933.25 | $1,584.89 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,862.09 | Professional | None | $831.76 | $1,096.48 | $1,862.09 |
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 $457.09 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $91.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $831.76 | $831.76 |
Where Arkansas sits
The same service costs 8.5 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
$1,413
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.