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 $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | None | $954.99 | $1,230.27 | $1,230.27 |
BCBS Arkansas Setting Facility Modifier None Typical Low $3,467.37 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,467.37 | $6,760.83 | $9,120.11 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,202.26 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,786.30 Typical High $5,623.41 | Facility | None | $831.76 | $4,786.30 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $1,698.24 | Professional | None | $954.99 | $1,659.59 | $1,698.24 |
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 $870.96 Median $1,122.02 Typical High $1,949.84 | Professional | None | $870.96 | $1,122.02 | $1,949.84 |
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 $478.63 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $478.63 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $190.55 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $707.95 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $95.50 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $660.69 | $870.96 | $870.96 |
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· 24th of 51
$1,445
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.