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 $616.60 Median $1,288.25 Typical High $2,454.71 | Facility | None | $616.60 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $616.60 | Professional | None | $501.19 | $616.60 | $616.60 |
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 $575.44 Median $630.96 Typical High $758.58 | Professional | None | $575.44 | $630.96 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $724.44 | Facility | None | $123.03 | $151.36 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $851.14 | Professional | None | $446.68 | $758.58 | $851.14 |
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 $416.87 Median $524.81 Typical High $1,000.00 | Professional | None | $416.87 | $524.81 | $1,000.00 |
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 $245.47 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $245.47 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $371.54 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $74.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $346.74 | $436.52 | $436.52 |
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· 33rd of 51
$575
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.