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 $407.38 Median $1,071.52 Typical High $2,041.74 | Facility | None | $407.38 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $676.08 | Professional | None | $354.81 | $426.58 | $676.08 |
BCBS Arkansas Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $1,995.26 | Facility | None | $831.76 | $1,445.44 | $1,995.26 |
BCBS Arkansas Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $812.83 | Professional | None | $380.19 | $501.19 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $1,318.26 | Facility | None | $512.86 | $1,047.13 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $912.01 | Professional | None | $363.08 | $537.03 | $912.01 |
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 $302.00 Median $501.19 Typical High $870.96 | Professional | None | $302.00 | $501.19 | $870.96 |
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 $199.53 Median $239.88 Typical High $338.84 | Professional | 52 · Reduced service | $199.53 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $97.72 Typical High $134.90 | Professional | 53 · Discontinued | $81.28 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $363.08 Typical High $512.86 | Professional | 54 · Surgery only | $302.00 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $102.33 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $48.98 Typical High $67.61 | Professional | 56 · Pre-op care only | $40.74 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $338.84 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $281.84 | $338.84 | $478.63 |
Where Arkansas sits
The same service costs 4.7 times more in Alaska than in Texas. 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· 24th of 51
$617
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.