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 $1,174.90 Median $1,862.09 Typical High $2,818.38 | Facility | None | $1,174.90 | $1,862.09 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,862.09 | $1,862.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,754.23 | $5,370.32 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,754.23 Typical High $3,235.94 | Facility | None | $588.84 | $2,754.23 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,659.59 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $6,918.31 | Facility | None | $1,479.11 | $2,041.74 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,513.56 | $2,818.38 |
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 $831.76 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $831.76 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $331.13 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,230.27 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $245.47 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,288.25 | $1,288.25 |
Where Arkansas sits
The same service costs 7.1 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· 21st of 51
$2,239
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.