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 $977.24 Median $1,819.70 Typical High $3,019.95 | Facility | None | $977.24 | $1,819.70 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,760.83 Median $13,182.57 Typical High $18,197.01 | Facility | None | $6,760.83 | $13,182.57 | $18,197.01 |
BCBS Arkansas Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,148.15 | Professional | None | $870.96 | $954.99 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,888.44 Typical High $7,413.10 | Facility | None | $794.33 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $1,445.44 | Professional | None | $758.58 | $1,318.26 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,548.82 | Professional | None | $691.83 | $870.96 | $1,548.82 |
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 $380.19 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $380.19 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $151.36 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $562.34 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $75.86 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $524.81 | $691.83 | $691.83 |
Where Arkansas sits
The same service costs 16.2 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
$1,148
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.