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 $1,071.52 Typical High $2,041.74 | Facility | None | $346.74 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $524.81 | Professional | None | $288.40 | $371.54 | $524.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $1,995.26 | Facility | None | $323.59 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $602.56 | Professional | None | $309.03 | $407.38 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $1,000.00 | Facility | None | $251.19 | $295.12 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $707.95 | Professional | None | $316.23 | $467.74 | $707.95 |
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 $263.03 Median $407.38 Typical High $676.08 | Professional | None | $263.03 | $407.38 | $676.08 |
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 $173.78 Median $194.98 Typical High $263.03 | Professional | 52 · Reduced service | $173.78 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $77.62 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $288.40 Typical High $389.05 | Professional | 54 · Surgery only | $263.03 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $57.54 Typical High $79.43 | Professional | 55 · Aftercare only | $52.48 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | 56 · Pre-op care only | $34.67 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $269.15 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $245.47 | $269.15 | $363.08 |
Where Arkansas sits
The same service costs 4.7 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· 26th of 51
$457
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.