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 $691.83 Median $1,513.56 Typical High $2,454.71 | Facility | None | $691.83 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | None | $549.54 | $691.83 | $691.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,019.95 | $4,168.69 |
BCBS Arkansas Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $831.76 | Professional | None | $630.96 | $691.83 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,479.11 Typical High $1,862.09 | Facility | None | $691.83 | $1,479.11 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,023.29 | Professional | None | $537.03 | $933.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,096.48 | $1,513.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,096.48 | Professional | None | $489.78 | $630.96 | $1,096.48 |
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 $275.42 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $407.38 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $54.95 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $380.19 | $489.78 | $489.78 |
Where Arkansas sits
The same service costs 14.1 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
$832
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.