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 $213.80 Median $1,000.00 Typical High $2,041.74 | Facility | None | $213.80 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $323.59 | Professional | None | $213.80 | $245.47 | $323.59 |
BCBS Arkansas Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,089.30 | Facility | None | $691.83 | $1,513.56 | $2,089.30 |
BCBS Arkansas Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $380.19 | Professional | None | $186.21 | $245.47 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $831.76 | Facility | None | $380.19 | $676.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $426.58 | Professional | None | $194.98 | $295.12 | $426.58 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,659.59 | Facility | None | $269.15 | $363.08 | $1,659.59 |
United Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $426.58 | Professional | None | $162.18 | $257.04 | $426.58 |
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 $107.15 Median $120.23 Typical High $158.49 | Professional | 52 · Reduced service | $107.15 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $239.88 | Professional | 54 · Surgery only | $162.18 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $47.86 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $151.36 | $169.82 | $223.87 |
Where Arkansas sits
The same service costs 4.1 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· 29th of 51
$288
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.