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 $1,380.38 Typical High $2,454.71 | Facility | None | $691.83 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $691.83 | Professional | None | $537.03 | $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 $616.60 Median $676.08 Typical High $812.83 | Professional | None | $616.60 | $676.08 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $1,862.09 | Facility | None | $588.84 | $1,513.56 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $954.99 | Professional | None | $537.03 | $912.01 | $954.99 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,388.44 | Facility | None | $794.33 | $1,122.02 | $3,388.44 |
United Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,096.48 | Professional | None | $489.78 | $602.56 | $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 $269.15 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $269.15 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $398.11 | $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 $53.70 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $53.70 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $371.54 | $489.78 | $489.78 |
Where Arkansas sits
The same service costs 8.1 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· 23rd 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.