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 $275.42 Median $1,000.00 Typical High $2,041.74 | Facility | None | $275.42 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $309.03 | Professional | None | $223.87 | $275.42 | $309.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $288.40 | Facility | None | $125.89 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | None | $251.19 | $281.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $165.96 | Facility | None | $107.15 | $128.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $416.87 | Professional | None | $234.42 | $371.54 | $416.87 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $478.63 | Professional | None | $204.17 | $263.03 | $478.63 |
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 $117.49 Median $134.90 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $204.17 Typical High $229.09 | Professional | 54 · Surgery only | $177.83 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | 55 · Aftercare only | $35.48 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $27.54 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.44 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $190.55 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $165.96 | $190.55 | $213.80 |
Where Arkansas sits
The same service costs 5.1 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· 33rd of 51
$282
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.