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 $758.58 Median $1,288.25 Typical High $2,454.71 | Facility | None | $758.58 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | None | $588.84 | $758.58 | $758.58 |
BCBS Arkansas Setting Facility Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,995.26 | Facility | None | $812.83 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $891.25 | Professional | None | $676.08 | $741.31 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $977.24 | Facility | None | $512.86 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,023.29 | Professional | None | $467.74 | $1,000.00 | $1,023.29 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,187.76 | Facility | None | $407.38 | $588.84 | $2,187.76 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,174.90 | Professional | None | $501.19 | $630.96 | $1,174.90 |
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 $288.40 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $288.40 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $407.38 | $524.81 | $524.81 |
Where Arkansas sits
The same service costs 7.4 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· 25th of 51
$813
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.