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 $457.09 Median $1,288.25 Typical High $2,454.71 | Facility | None | $457.09 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $645.65 | Professional | None | $371.54 | $467.74 | $645.65 |
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 $398.11 Median $524.81 Typical High $741.31 | Professional | None | $398.11 | $524.81 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $1,047.13 | Facility | None | $645.65 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $870.96 | Professional | None | $398.11 | $616.60 | $870.96 |
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 $346.74 Median $512.86 Typical High $851.14 | Professional | None | $346.74 | $512.86 | $851.14 |
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 $223.87 Median $234.42 Typical High $323.59 | Professional | 52 · Reduced service | $223.87 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $128.82 | Professional | 53 · Discontinued | $91.20 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $354.81 Typical High $478.63 | Professional | 54 · Surgery only | $338.84 | $354.81 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $70.79 Typical High $95.50 | Professional | 55 · Aftercare only | $67.61 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $46.77 Typical High $64.57 | Professional | 56 · Pre-op care only | $45.71 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $331.13 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $316.23 | $331.13 | $446.68 |
Where Arkansas sits
The same service costs 4.8 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· 29th of 51
$550
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.