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 $123.03 Median $1,000.00 Typical High $2,041.74 | Facility | None | $123.03 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $138.04 | Professional | None | $100.00 | $123.03 | $138.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $87.10 Median $208.93 Typical High $288.40 | Facility | None | $87.10 | $208.93 | $288.40 |
BCBS Arkansas Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $169.82 | Professional | None | $112.20 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $79.43 Typical High $109.65 | Facility | None | $72.44 | $79.43 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $186.21 | Professional | None | $109.65 | $165.96 | $186.21 |
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 $91.20 Median $114.82 Typical High $208.93 | Professional | None | $91.20 | $114.82 | $208.93 |
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 $53.70 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.62 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $87.10 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $74.13 | $87.10 | $97.72 |
Where Arkansas sits
The same service costs 4.5 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· 27th of 51
$138
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.