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 $223.87 Median $1,000.00 Typical High $2,041.74 | Facility | None | $223.87 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $269.15 | Professional | None | $204.17 | $223.87 | $269.15 |
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 $213.80 Median $257.04 Typical High $338.84 | Professional | None | $213.80 | $257.04 | $338.84 |
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 $177.83 Median $295.12 Typical High $354.81 | Professional | None | $177.83 | $295.12 | $354.81 |
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 $147.91 Median $204.17 Typical High $416.87 | Professional | None | $147.91 | $204.17 | $416.87 |
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 $102.33 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | 54 · Surgery only | $151.36 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $30.90 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.39 Typical High $26.92 | Professional | 56 · Pre-op care only | $20.42 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $158.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $141.25 | $158.49 | $186.21 |
Where Arkansas sits
The same service costs 5.0 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
$257
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.