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 $346.74 Median $1,230.27 Typical High $2,041.74 | Facility | None | $346.74 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $389.05 | Professional | None | $269.15 | $346.74 | $389.05 |
BCBS Arkansas Setting Facility Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,995.26 | Facility | None | $812.83 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $446.68 | Professional | None | $302.00 | $338.84 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $977.24 | Facility | None | $588.84 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $537.03 | Professional | None | $281.84 | $478.63 | $537.03 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,162.28 | Facility | None | $794.33 | $1,122.02 | $3,162.28 |
United Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $588.84 | Professional | None | $251.19 | $331.13 | $588.84 |
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 $141.25 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $141.25 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $263.03 Typical High $288.40 | Professional | 54 · Surgery only | $213.80 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $42.66 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $34.67 Typical High $38.90 | Professional | 56 · Pre-op care only | $28.84 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $245.47 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $199.53 | $245.47 | $269.15 |
Where Arkansas sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 27th of 51
$398
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.