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 $190.55 Median $1,000.00 Typical High $2,041.74 | Facility | None | $190.55 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $213.80 | Professional | None | $144.54 | $177.83 | $213.80 |
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 $162.18 Median $194.98 Typical High $257.04 | Professional | None | $162.18 | $194.98 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $165.96 | Facility | None | $107.15 | $125.89 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $281.84 | Professional | None | $134.90 | $239.88 | $281.84 |
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 $134.90 Median $173.78 Typical High $316.23 | Professional | None | $134.90 | $173.78 | $316.23 |
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 $77.62 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $77.62 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $42.66 | Professional | 53 · Discontinued | $31.62 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $134.90 Typical High $158.49 | Professional | 54 · Surgery only | $117.49 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $26.92 Typical High $31.62 | Professional | 55 · Aftercare only | $23.44 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.78 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.49 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $125.89 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $109.65 | $125.89 | $147.91 |
Where Arkansas sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$209
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.