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 $724.44 Median $1,380.38 Typical High $2,454.71 | Facility | None | $724.44 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $724.44 | Professional | None | $562.34 | $724.44 | $724.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $851.14 | Professional | None | $645.65 | $707.95 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,162.28 Typical High $3,981.07 | Facility | None | $562.34 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $977.24 | Professional | None | $549.54 | $954.99 | $977.24 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,148.15 | Professional | None | $501.19 | $660.69 | $1,148.15 |
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 $281.84 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $83.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $389.05 | $501.19 | $501.19 |
Where Arkansas sits
The same service costs 8.1 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
$851
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.